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HomeMy WebLinkAbout104254 GALLS LLC - INSURANCE CERTIFICATE (2)Client#: 1778682 CBGENERHO1 ACORD. CERTIFICATE OF LIABILITY INSURANCE UATE(MMIDDfm 3/1112020 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT - - -- NAME: USI Insurance Services LLC .PHONE ac No Est : 513 052-6300 A/C No): 513 852-6428 312 Elm Street, 24th Floor E-MAIL Cincinnati, 45202 ADDRESS: 513 852300 INSURER(S) AFFORDING COVERAGE NAIL# .INSURER A': OBE Itaurana terporaaon 39217 INSURED Gaits, LLC INSURER B': Gana -Casualty Company of Wisconsin 2"14 INSURER C : praatorlan lrnurence Company 37257 1340 Russell Cave Road INSURER D: The Clndm a.insuranc,Company 10677 Lexington, KY 4050$ INSURER E : Gnat American E a s Insurance Company 37532 INSURER F: COVERAGES CERTIFICATE NUMRFR- DFvlslnal ainaanco• 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 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. R IN LTR TYPE O F INSURANCE ADDL INSR IV VIV POLICY NUMBER POLICCY EFF MM/DD(MMIDRNYM POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L ^ OCCUR X X CGA1365959 3/01/2020 03/01/2021 EACHOCCURRENCE $1 OOO 000 PREMISES EaEoNcCT59nce $1 OOO OOO MED EXP (Any one person) 000 PERSONAL B ADV INJURY 00,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT X ILOC GENERAL AGGREGATE 00,000 PRODUCTS - COMPIOP AGG E$22,000,000 OTHER: A AUTOMOBILE LIABILITY X X CBA1366969 3/01/2020 03/01/2021 COMBINED SINGLE LIMITEa accident 00,000X BODILY INJURY(Per person) ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ $ B �( UMBRELLA LIAR X OCCUR CCU1365959 3/01/2020 03/01/2021 EACH OCCURRENCE $10 00O 000 AGGREGATE. $16OOO OOO EXCESS LIIB CLAIMS -MADE DED I X RETENTION $1 O 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY MY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � N I A CWC1365959 3/61/2020 - - 03/01/2021 X PER OTH- STATUTE E.L. EACH ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory In NH) It yS6 describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT $1,066,066 D Excess Liability EXS0570374 3/01/2020 03/01/2021 $15,000,000 Limit E E I Pollution PREE29196800 ID,1131/1018101131/20211 $3,000,000 Limit -- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be att_acbetl if -more space Is required) Contract #8085 Police Uniforms. The General Liability and Automobile Liability policies include an automatic:Additional Insured endorsement that provides Additional Insured status to City of Fort Collins, only When there is a written contract that requires such status, and only with regard to work performed on behalf of the named insured. City of Fort Collins 215 N. Masson St. 2nd Floor Fort Collins, CO 80522 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 REPRESENTATIVE All riahts reserved ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S28183318/M28117946 HKYZP