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HomeMy WebLinkAbout104254 GALLS LLC - INSURANCE CERTIFICATE (3)Client#: 1778682 CBGENERHOI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE III M/DDIYYYY) 4/14/2020 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 ofsuch endorsement(s). PRODUCER - - -- . - USI Insurance Services LLC 312 Elm. Street, 24th Floor Cincinnati, OH 45202 C - - --- NAME - . PHONE 513 852-6300 51.3 852�428 AIC No Ert: A/C No: E-MAIL ADDRESS: 513 852-6300 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: OBE Insurance Corporation 39217 INSURED Galls, LLC 1340 Russell Cave Road Lexington, KY 40505 INSURER B General Casualty Company of Wisconsin 24414 INSURER c : Praetorian Insurance Company 37257 INSURER D : The Cincinnati Insurance Company _ _ - 10677 Great AmericanE & S Insurance Com an .INSURER E : p _ y 37532_ INSURERS:_ . -- eacu olsar.0 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 ANEN Y 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. - - LTR TYPE OF INSURANCE DLr INSR-UMBER MMIDD MIDD LMRS A X coMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 3MM20 03/01/2021 OCCURRENCE $1 000000 oEgACCHH PREMISES Ea oaur',. $1 OOO OOO MED EXP (Any one person) $1 000 - PERSONAL &ADV INJURY $1,000 000 GEN_'L AGGREGATE LIMIT APPLIES PER: PRO.POLICY ECT L=I LOC GENERAL AGGREGATE $2,000000 PRODUCTS - COMP/OP AGG $2,600 000. - OTHER: _ - AAUTOMOBILE LU8ILI11 ANY AUTO OED SCHEDULED ALIT ONLY AUTOS HD - N ON -OWNED DX AUTOS ONLY X AUTOS ONLY X CBA1365959 3/0112020 03/01/2021 COMBINEDNGLE LIMIT Ea accident) - 1,000,000 X BODILY INJURY (Per person) -$ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per etwident E E B X _ UMBRELLA LIAR X OCCUR CCU7365959 3/0112020 .. 03/01/2021 EACH OCCURRENCE $1O 000 000 AGGREGATE $1 O OOO OOO EXCESS L1AB CLAIMS -MADE DED X RETENTION $10 000 $ C _ WORKERS COMPENSATION AND EMPLOYERS' LJABILRY ANY PROPRIETOR/PARTNER)EXECUTIVE YIN N OFFICER/MEMBER EXCLUDED? � (Mandarory In NN) H yes desedun nder der DESCRIPTION OPERATIONS below N/A CWC7365959 3/01/2020 03/01/2021 X PER' OTH- E.L. EACH ACCIDENT. $1 000 000 E.L. DISEASE:-. EA EMPLOYEE $1 OOO 600. E.L DISEASE''. POLICY LIMIT $1 000 000 D Excess Liability EXS0570374 3/01/2020 03/01/2021 $15,000,000 Limit E E I -- Pollution .PREE29196800 1/31/2018 01/31/2021 $3 000,000 Limit- . _ - - - DESCRIPTION OF OPERATIONS /LOCATIONS / VEMCLES (ACO-6 71)7, Additional Remarks Schedule, may be attached If more space is required) - CERTIFICATE' HOLDER CANCELLATION City of Fort Collins - 215 N. MasonStreet;2nd Floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort, Collins, CO 80522 AUTk0RRIZ``E6 -�REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of I The ACORD name and logo are registered marks of ACORD #S28505825/M28117946 SBDZP