HomeMy WebLinkAboutSOILOGIC INC - INSURANCE CERTIFICATE (3)ACRD CERTIFICATE OF LIABILITY INSURANCE w,0
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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 THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAGINSURED provisions -or be endorsed.
If SUBROGATION IS WAIVED, subject to the ternfs and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer riahts to the certificate holder in 61,114 such endorsement(s).
Flood and Peterson
PO Box 578
Greeley
Soilogic, Inc.
3522 Draft Horse Court
CO180632 1INSURER A: Pinnacol Assurance
tl [NSURERa, Lexington Insurance
Loveland CO 80538
_ _._ INSURER R.:
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THIS IS TO CEFITIFY 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 CONTRACT OR 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 AND CONDITIONS OF. SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
_ POUCY
NUMBER. _ _ _
MwO .. -
EXP
YIO Y
LIMITS
COMMERCIAL GENERAL LIABILITY
.EACH OCCURRENCE
$
CLAIMS -MADE 17 OCCUR
uAMAGti
PREMISES Ee oxurLce
$
MED.EXP (Any onePerson)
$
.PERSONAL&ADV INJURY
$
GEML AGGREGATE LIMITAPPLIES PER:
GENERALAGGREGATE.
$
.PRODUCTS_COMP/OP AGG
$.
POLICY ❑ PRO-
JECT LOC
- - -
$
OTHER:
AUTOMOBILE LIABILITY
- _ - _
-
-
-COMBINED SINGLE LIMIT
(Ea accident - --- -
$
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
- - -- -
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
.I Per accident
$
UMBRELLA LIAB
OCCUR
-_ -
_
. EACH OCCURRENCE_
$...
.AGGREGATE._
EXCFffi UAS
CLAIMS -MADE
DED I I RETENTION $
-
$
A
WORKERS COMPENSATION
AND EMPLOYEr[5' LIABILrrY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERAAEMBEREXCLUDED? El
(Mandatory in NH)
N/A
4093786
-
66/01/2620
06/01/2021
.PER. OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000.000
E.L.OISEASE-EAEMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
If yes, deecribe under
DESCRIPTION OF OPERATIONS below
_
- -
Occurrence
$1,000,000
B
Professional Liability
03171114i
05/20%2020
06/01/2021
Aggregate
$2,000,000
Deductible
$25,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101,Additlaial
Remarks Schedule, may be attached If more space Is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATETHEREOF, NOTICEWILL BE DELIVERED IN
City of Fort Collins
ACCORDANCEWITH THE POLICY PROVISIONS.,
300 LaPorte Ave.
--- - -- -
AUTHORRED REPRESENTATIVE
Fort Collins CO
80621
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ACORD 25 (2016103) The ACORD In me and logo are registered marks of ACORD