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HomeMy WebLinkAbout613946 JJ PRATT ENTERPRISES LLC DBA J & J FLOORS - INSURANCE CERTIFICATEACCMO® CERTIFICATE OF LIABILITY INSURANCE ♦`� DATE (MMIDDIYYYY) 03/23/2020 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(les) must tie 66ddirsed. 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 rights to the certificate_ holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dian&E. Martin Timberline Insurance Agency, Inc. PHONE 307-637-4757 aC No): 307-637 4266 P. 0. Box 20007 ADDRESS: demartin@timberlinens.com INSURERS AFFORDING COVERAGE NAIC 0 Cheyenne, WY 82003 INSURERA: Travelers Indemnity INSURED INSURER B INSURER c : JJ Pratt Enterprises, LLC dba: INSURER D : J & J Floors INSURERE: P.O. Box 551 INSURER F : Pine. Bluffs, WY 82082 COVERAGES CERTIFICATE- NUMBER: RFVISIr1N Nl1MRFR 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 MAYBE ISSUED OR MAY PERTAIN, THE INS.URANCE 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. INSR LTR TYPE OF INSURANCE OL AMR SUBS iffim POLICY NUMBER POLICY EFF fMMfDOIYYYYj POLICY EXP (MMIDDfYYYY)LIMITS _ - GENERAL LUU31lJTY EACH OCCURRENCE. 1, 000,000. $_ COMMERCIAL GENERAL LIABILITY 71 CLAIMS -MADE W1 OCCUR PREMISES Ea. occurrence $- 300,000 MED EXP_(Any one erson ...$:- 5,000 PERSONAL aADV.INJURY $ 1,000,000 A 680-004E242971-20-42 03/21/2020 03/21/2021 GENERAL AGGREGATE_ $. 2,000,000 GEN'L AGGREGATE LIMIT. APPLIES PER: PRODUCTS -:COMP/OP AGG $. 2,000,000 POLICY PRO- LOC $ - AUTOMOBILE LIABILITY COMBINED SINGLE LIMI Ea accident - $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident $ NON-0WNED HIRED AUTOS AUTOS(Per PROPERTY.DAMAGE accident -- $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIM -MADE DED 11 11 .RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN Y LIS11 IJ E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVi[] OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOY $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMI $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Flooring- Wood- Replace & Refinish SHOULD ANY OF THE ABOVE .DESCRIBED POLICIES BE. CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 222 Laporte Ave ACCORDANCE WITH THE.POLICY PROVISIONS. Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE Diane E. Martin ©1988-2010 ACORD CORPORATION. All riohts reserved. The ACORD name and logo are registered marks of ACORD