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Home My WebLink AboutTHE HUMAN BEAN - INSURANCE CERTIFICATE (3)SSBLUES-01 --VMAIA O CERTIFICATE OF LIABILITY INSURANCE DA3 (MMIDD 0 ) 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 I 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 rightsto the Certificate holder in lieu of such endorsements . PRODUCER C NY CT Pn/"c°NN , Est: (970) 635-9400 (FA, No)i(970) 635-9401 PFS:Insurance Group 4848Thompsoi Parkway.Suite200 JohnCO 80534 iu L . info@mypf*insurance.com Estown, INSURE S AFFORDING COVERAGE NAIC# INSURER A: Union Insurance Com an 258" INSURED INSURER B rPinnacol.Assurance. Co 41190 INSURER C : SS Blue Sky 2.0, LLC dba the Human Bean INSURER D : 3610 35th Avenue, Unit 9 Evans, CO 80620 INSURER E :. INSURER F r^%ICOA _cc caoTlciceTP IJI HUIMP12- RFVISION NLIMRFR: 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 TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEDFINSURANCE ADDLSUBR ima POLICY NUMBER POUCTEFF. .POLICY EXPLTR LIMITS A X COMMERCIALGENERAL LIABILITY CLAIMS -MADE FX7 OCCUR CPA312473544 - - 3/19/2020 3/19/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE? EaoNTEe „eI $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL B AOV INJURY $ 1,000,000 GENIL X AGGREGATE LIMIT APPLIES PER: POLICY j�T ,. LOC" OTHER: GENERAL AGGREGATE $ 2,000,0.00 PRODUCTS -'COMP/OP AGG $ 2,000,000 A -- - - — - - AUTOMOBILE LIABILITY- ANY AUTO OWNED SCHEDULED AUgTEOpS ONLY AUUTNOSVyNEpBODILY AUTOS ONLY X AUTO ONLY Ix - CPA3124735-24 3/19/2020 - 3/19/2021 COMBINED. SINGLE LIMIT c i - 1,000,t100 BODILY INJURY Per erson $ INJURY Per accident $ Per,=,de rt AMAGE $ A X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE CPA3124736-24 3/19/2020 3/19/2021 EACH OCCURRENCE-- $ 2,000,000 AGGREGATE $ 2,000,000 DED I X I RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ MFFICEW �ggE�q�.EXCLUDED? i NH) H yes, describe under _ . .. DESCRIPTION OF OPERATIONS below- N/A 4222176 . - - -- -- 3/1/2620 311/2021 PER OTH STATUTE E.L. EACH ACCIDENT 1,000,000 $ F.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addt tonal Remarks Schedule, maybe attached If more space Is required) wr-rir,rrna� u�, nen f ArdCC1 I ATIf1W SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. CI of Fort Collins Sales Tax Division City . THE .EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2nd Floor - - 215'North Mason Street Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) C 1988-2015 ACORD CORPORATION. All.nghts reserved. The ACORD name and logo are registered marks of ACORD