HomeMy WebLinkAboutSOILOGIC INC - INSURANCE CERTIFICATE (2)A� � CERTIFICATE
OF LIABILITY INSURANCE
DATE(MANDNYYY`)
o5no/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT COMMSTITUTE
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
MENDER , EXTEND OR ALTER THE COVAGE AFFORDED BY THE POLICIES
A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
HOLDER.
IMPORTANT: If the Certificate holder is an m
ADDITIONAL INSURED,
If SUBROGATION IS WAIVED, subject to the terms and conditions
this certificate does not confer rights to the certificate holderl
the poficy(ies) must have-ADDITIONALINSUREDprovisions-or be endorsed.
of the policy; certain policies may require an endorsement. A statement on
in lieu of such endorseme0s).
PrloouCEFI
Flood and Peterson .
PO Box 578
...
Greeley _ _ CO
80632
CONTA
Nam: Diane Dauven, CISR
PHONE , (970) 266-7111 IF& No: (970) 330-1867
E-MAR DDauven@floodpeterson.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE.
NAIL
INSURER A: Pinnacol Assurance
41190
INSURED
Soilogic, Inc.
3522 Draft Horse Court
Loveland CO,
80538
INSURER e : LeAngton Insurance Company
19437
INSURER C:
INSURER D:.
INSURER .E:.
INSURER F.:
CAVFnAPFS CERTIFICATE NUMBER: I CL2052034778 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES.. LIMITS SHoWN!MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE _
._POLICY
NUMBER.
MMN YEFF
P
LIMITS
COMMERCIAL GENERAL 1.14hajLITY
EACH OCCURRENCE
$
CLAIMS -MADE OCCUR.
PREMISES E ocourrenne
s
MED EXP one a mm
$
PERSONAL B ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE.
PRODUCTS -COMP/OPAGG
$
POLICY JECT LOC
$
OTHER: _
AUTOMOBILE LIABILITY -
"-
- -
. OMBI SINGLE LIMIT
$(Ea -
BODILY INJURY(Perperson)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED - NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY(Peraadderd)
$
PROPERTY AGE
Per aeddent
$
UMBRELLA UAB
OCCUR
.EACH OCCURRENCE.
$
.AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED RETENTION E
$
._ _
_ _._ __ __
A
WORKERS COMPENSATION- --- "-"
AND EMPLOYERS' Y/N LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBERExCLUDED4
(Mandoory in NH)
N/A
- -
4093788
O6/01/2019
O6/01/2020
PER OTH-
STATUTE ER
EL EACH ACCIDENT
$ 1,000,000
EL DISEASE - .EA EMPLOYEE
$ 1,000,000
E.L DISEASE-. POLICY LIMIT
$ 1,000,000
It yes, descnlbe under
DESCRIPTION OPOPERATIONS below
_ "...._
_
_ _. _
Occurrence
$1,000,000
B
Professional Liability
03171114i
05120/2020
06/01/2021
Aggregate
$2,000,000
Deductible
$25,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEMCLES (ACORD 101, Addidorml
Remarks SChWWa, may be allW d tl more space Is mgWretQ
roannimCATC 41n1 nFR I CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXFIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
300 LaPorte Ave.
AUTHORED REPRESENTATIVE - - -
Fort Collins C
80521
01988-2015 ACORD CORPORATION. All ngnts reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD