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HomeMy WebLinkAboutCOLORADO STANDBY LLC - INSURANCE CERTIFICATE (2)ACORb UAI t] (MMIUW T T T T) CERTIFICATE OF LIABILITY INSURANCE 06/24/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holde► Wan ADDITIONAL INSURED; th"e policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder' in lieu of such endorsement(s). PRODUCER CONTACT Moody Insurance Agency NAMMoody Insurance Agency, Inc. P. No (303) 824-6600IAIC. _ a No : (303) 370-0118 8055 East Tufts Avenue EuMWDREss: certrequest@moodyins.com Suite 1000 - INSURER(S) AFFORDING COVERAGE- NAIC# Denver CO 80237 INSURERA. Cincinnati Indemnity Company 23280 Colorado Standby, LLC 720Seedling Ct Springs 80915 INSURER D : INSURER E : COVERAGES CERTIFICATENUMBER:, REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT -TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MMRIOYMlYYI 1MMIDDNYYYILIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ©OCCUR DAMAGE TO PREMISES RENT iDCal E $00,000 MED EXP (Any oneperson) $ 10,000 I PERSONAL BAOVINJURY $ 1,000,000 A Y Y ENP0509951 07/01/2020 07/01/2021 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 19 PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ _ ANY AUTO A. OWNED X SCHEDULED Y Y ENP0509951 07/01/2020 07/01/2021 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS _ PROPERTY DAMAGE $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Per ace! t Comp/Collision Ded _ $_ 1,000 UMBRELLA LIAB OCCUR EACH. OCCURRENCE -$ 1,000,000 AGGREGATE $ 1,000'000 A EXCESS LIAB CLAIMS -MADE ENP0501951 07/01/2020 07/01/2021 . .DED I X .RETENTION-$ 0 $ I WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY y I N X STATUTE ETH- E.L. EACH ACCIDENT - $ 1,000,000 B ANYPROPRIETOR/PARTNERIEXECUTIVE N/A Y 4214133 Ot/01/2020 Ot/01/2021 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUE (Mandatory In NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below. I - .E.L..DISEASE -POUC'iUMIT_ :E. 1;000,000 Limit $25,000 LeasedlRentedEquipment A - ENP050 9951 07/01/2020 07fO1/2021 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Fort Collins, its officers, agents and employees are Additional Insureds with regards to General Liability and Automobile Liability. A Waiver of Subrogation endorsement applies with regards to General Liability, Automobile Liability and Workers Compensation. City of Fort Collins 215 N Mason St 2nd Floor,. PO Box 580 Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE. WITH THE POLICY PROVISIONS. AUTHORIZED R&ItES�ENITATVE CO 80522 Vy" vuavl — ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD