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Home My WebLink About459545 HOMELAND FENCE & SECURITY (LESONDAK CONSTR) - INSURANCE CERTIFICATE (2)DATE (MM/DDIYYYY) ACORDO CERTIFICATE OF LIABILITY INSURANCE 05/25/2015 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT A L Y S S A H O B G O O D NAME TRUENORTH COMPANIES LC 275 S . MAIN S T , 1 0 0 PHONE FAX (A/C, No. Ext) 888 793-1481 A/C No): 800 974-0297 E-MAIL ADDRESS SERVICECENTER UNITEDFIREGROUP.COM PRODUCER LONGMONT CO 80501 CUSTOMER ID#. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Addison Insurance Company 10324 INSURER HOMELAND FENCE & CONSTRUCTION INSURERC: LESONDAK STEPHEN DBA INSURERD: 6204 JACKPINE DR INSURERE. BELLVUE CO 80512-5623 INSURER F wn0c rcortnreTF nlllnnctl=R• RFVISInN NIIMRFRr vTHIS 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, INSR LTR TYPE OF INSURANCE DDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR N N 0334 60461839 06/24/2015 06/24/2016 EACH OCCURRENCE 1 000,00 DAMAGE TO RENTED PREMISES Ea occurrence 100,00C $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,00C GEN'L AGGREGATE LIMIT APPLIES PER. PRo- POLICY ❑X JECT X LOC OTHER: GENERAL AGGREGATE $ 2 , 000 , OO PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS N N 0334 G0461839 06/24/2015 06/24/2016 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ X PROPERTY DAMAGE (Per accident) $ X $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER STATUATE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES (ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF FORT COLLINS IS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY. r:FRTIFIC:ATF Hrll nFR CANCELLATION CITY OF FORT COLLINS P U R C H A S I N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE A T T N J O H N STEVENS EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE PO B O X 580 WITH THE POLICY PROVISIONS. FORT COLLINS CO AUTHORIZED REPRESENTATIVE 8 0 5 2 2- 0 5 8 0 ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved.