HomeMy WebLinkAboutLA PIADINA LLC - INSURANCE CERTIFICATEACORO I DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 6/16/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO NATION 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 THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.. IMPORTANT: N the certificate holder Is an ADDITIOWA INSURED, the policy(ies) must. have ADDITIONAL INSURED provisions or be endorsed. SUB ROGATION BROGATION 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 Bolder in lieu of such endorsement(s). PRODUCER NAME: Lisa Johnson - 1 st American Fort Collins LLC AIC FAX No E# : 9704842805 A/C, No): 3534 JFK Pkwy. ADDRESS LISH C 1 aia.com_ — �- - suite C INSURER(S) AFFORDING COVERAGE NAIC 0 Fort Collins CO 80525 INSURER A : UNITED FIRE & CAS CO 13021 INSURED INSURERB: La Piadma, LLC INSURER C : 526N..Shields Street INSURERD: INSURER E :. Fort Collins CO 80521-1842 INSURERF: COVFRAnFS CFRTIFICATF NI1MRi RFVISIr1N NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED. NOTWITHSTANDINGANY REQUIREMENT• TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN BELOW HAVE BEEN ISSUED TO THE INSURED. NAMED ABOVE FOR THE POLICY PERIOD H TH REWHICH OR CONDITION OF ANY CONTRACT OR OTHER.D000MEWITSPECT TO THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAP CLAIMS. _ LTR TYPE OF INSURANCE 1NSD wvD POLICY NUMBER (MMIDDIYYYY) (MMIDDNYYY) LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ©OCCUR Y 60433803 06/13/2020 06/13/2021 EACH OCCURRENCE $ 1,000,000 WMAGnummu PREMISES (Ea $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: �[ POLICY ❑ jEC'T LOC OTHER: GENERAL AGGREGATE $_ 2,000,000 PRODUCTS.. COMP/OP AGG $_ - _ �.. _2,006,060 $ A AUTOMOBILE - LIABILITY ANY AUTO AUTOS ONLY OWNED SCALJHEDULED TO HIRED - - NON S NLY AUTOS ONLY AUTOSS ONLY 61 1803 06/13/2026 06/13/2021 - � Eaaccident $ 300,000 BODILY INJURY (Per person) $ BODILY INJURY(Peraccidenp $ - (Per accident $ .. _. _.. _._ $ UMBRELLA UAB EXCESS IUAIS OCCUR CLAIMS -MADE No Coverage EACH OCCURRENCE $ _ AGGREGATE $ DED RETENTIONS $ RKERS COMPENSATION NDEMPLOYERSLJABILITI' YIN NNY R. ED? ECUTIVE ❑ FICERIME BEEXCLUDED?_ Mandatory In NH) - - t es• tlesuibi under SCRIPTION OF OPERATIONS below NIA No Ooverage - - STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addilonal Certificate Holder is Additional Insured as respects liability Avenue, Fort Collins, CO. Remarks Schedule, may be attached It more space Is required) arising out of our insured's operations per form CG2024 at location 201 Laporte SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 'THEREOF ; NOTICEWILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215N..Mason Street AUTHORIZED REPRESENTATIVE - Lita. JaM.yow - ©1988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD