Loading...
HomeMy WebLinkAboutINLET STRUCTURES INC - INSURANCE CERTIFICATE (5)INLESTR-01 CERTIFICA OF LIABILITY INSURANCE I DATE(ebInAnA YYYY) 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. DOESE . NOT .CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 endorsements . PRODUCER 1 PHONE cT Shaleen Martin Six & Geving Insurance, Inc. ., f79n1 O69J\ORO F ... /79M OG9JIOA9 11 1 Inlet Structures Inc. Danny & Rachel Garza Silo York St Denver, CO 80216 F: COVERAGES. _CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE. INDICATED. NOTWITHSTANDING ANY REQUIREMENT; TERMM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE FFII EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, OWN MAY HAVE BEEN REDUCED BY -PAID CLAIMS. IN TR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X 3X23855 612/2020 6/2/2621 CH OCCURRENCE ,0,000 EMISES(EAMAGE TO aENTED cccurrence) 300,000 I RSONAL&ADV INJURY $ 1,000,000 GENT- AGGREGATE LqIIMIT APPLIES PER: POLICY a jPPTT LOC OTHER: NERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2,000,400 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUpToEsDoNLY AUOTNOSWryEp AUTOS ONLY A11T0 ONLY 3X23855 6/2/2020 - 6/2/2021 E COMBINED SINGLE LIMIT BODILY INJURY Per arson $ - 1 �000-000 X INJURY Pei accident $ BODILY PPeOr exld DAMAGE $ A X UMBRELLA LUAB EXCESS LIAO X OCCUR CLAIMS -MADE 3X23855 6/2/2020 6/2/2021 EACH OCCURRENCE $ 5'000'000 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 B AND EMPLOYERS' B1'ONY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N pFFICEPoTyV07 EXCLUDED? � (Mandat°ry l^NX% It yes,aascribe under DESCRIPTION OF OPERATIONS below N /A 4016512 4/1/2020 4/1/2021 PER OTH- XSTATUTE E13 E.L. EACH ACCIDENT $ 1,000'000 E.L. DISEASE - EA EMPLOYE $ 1'000'090 E.L. DISEASE- POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addhioaal City of Fort Collins Is named as additional Insured as respects Remarks Schedule may be attached If more apaco,Is required) General Liability li required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins ACCORDANCE WITH THE OLICYY PROVISIONS. OTICl3 WILL BE DELNERED IN P.O. Box 580 Fort Collins, CO 80522 AUTHORRPD REPRESENTATIVE ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD