HomeMy WebLinkAbout140254 GALLS LLC - INSURANCE CERTIFICATEClient#: 1778682
CBGENERHOL
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDDIYYYY)
3/11/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 terns 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
fyTACT_
NAME:.
USI Insurance Services LLC
312 Elm Street, 24th Floor
Cincinnati, OH 45202
513 852-6300
PHONE. 513- 8.52 6300 513 85_2_-6428
AIC No Est :... AIC, No :.
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC 0
INSURER A: OBE Insurenas Corporation
39217
INSURED
Gaits, LLC
gton, lwCaveRoad
Lexington,
Lexington, l�s QOSOS
INSURER B : Gsnsril Casualty Conipsny of wisownew
24414
INSURER C : prastorlan Insurance Company
37257
INSURER D:TheCincinnati Insurance company
10677
INSURER E rmG,.t"rice.E&SImumCompany
37532
INSURER F :
COVERAGES CERTIFICATE NUMBER' RFVISInN NIIMRFR•
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 CONTRACTOR 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 CLAIMA.
ILTR
TYPE OF INSURANCE
INSR
y VD
POLICY NUMBER
MMIUDYEFF YY
MMIODY YYP
LIMITS
A
X
GENERAL LIABILITY
X
X
CGA1365959
3/01/2020
03/01/2021
EACH
$1j000000
7101ERCLAL
CLAIMS -MADE OCCUR
p�OECTC�URRENCE
PREMISES EaE.'.nce
$1 000,000
MED EXP (Anyone person)
$1 O 000
PERSONAL&ADV.INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY U JECT FX LOC
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
$000,600
$
OTHER:
A
AUTOMOBILE
LIABILITY
X
X
CBA1365959
3/01/2020
03/01/2021
COMBINED SINGLE LIMIT
Ea accident)'
1,000,000
BODILYINJURY(Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
.HIRED
IX
BODILY INJURY (Pei accident)
$
NON -OWNED
ONLY X AUTOS ONLY
PROPERTYDAMAGEAUTOS
Per accident
$
B
UMBRELLA LIAB
X
OCCUR
CCU1365959
3/01/2020
03/01/2021
EACH OCCURRENCE
$10000000
AGGREGATE
$1 O 000 000
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION $1 O 000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY -E
YIN,
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? [N]
N I A
CWC1365959
3/01/2020
03/01/2021
X PER T OTH-
ER
E.L. EACH ACCIDENT
$1 0OO OOO
E.L. DISEASE -.EA EMPLOYEE
$1 OOO 000.
(Mandatory In NH)
If yes. describe. under,
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
D
Excess Liability
EXS0570374
3/01/2020
63/01/2021
$15,000,000 Limit
E
E
Pollution
PREE29196800
1/31/20111
01/31/2021
$3 000,000 Limit.
- .
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 107, Additional Remarks Schedule, may be attached I more space Is required)
The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement
that provides Additional Insured status to The City of Fort Collins, its officers, agents and employees,
only when there is a written contract that requires such status, and only with regard to work performed on
behalf of the named insured.
The City of Fort Collins
Purchasing Department
P.O. Box 580
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 POUCY PROVISIONS.
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