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HomeMy WebLinkAbout129790 THE FEET INC - INSURANCE CERTIFICATE (14)____"q1N FEET-01 OP ID: JD ACRN► O' DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/28/2015 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 CONTANAME: Tyler B. Allen Brown 8, Brown Inc - 4532 Boardwalk Dr, Suite 200 AICNNo, Ext :970-482-7747 No): 970-484-4165 Fort Collins, CO 80525 E-MAIL Tyler B. Allen ADDRESS: tallen@bbcolorado.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Ins Co 18058 INSURED The Feet, Inc. INSURER B: Pinnacol Assurance Company 41190 Velocity Boys, Inc. INSURER C : AGCS Marine Insurance Co. 22837 3825 E Mulberry St., Unit 2A Fort Collins, CO 80524 INSURER D: Praetorian Insurance Co. 37257 INSURER E: Great American E&S Ins. Co. 137532 INSURER F : rIMICDA!_CQ f`I=DTICIf'ATC 1J11MR1=R- RFVIRIfIN 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 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 I UBR WV ­ POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS D X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FXI OCCUR PICC00004133 08/15/2014 08/15/2015 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY ❑ JE LOC PRODUCTS -COMP/OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ D X ANY AUTO PICC00004133 0811512014 08/15/2015 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ ._ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 E X EXCESS LIAB CLAIMS -MADE 3534074 08/15/2014 08/15/2015 DIED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 3534074 07/01/2014 07/0112015 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE; $ 1,000,00 E.L. DISEASE - POLICY Li MIT $ 1,000,00 If yes, describe under DESCRIPTiOlq OF OPERATIONS bei— A Empl Dishonesty PHSD1035364 05/28/2015 0512812016 Limit 250,000 C Trans/Cargo MZ198470793 02/15/2015 02/15/2016 Limit 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Fort Collins is included as an additional insured per conditions and forms shown on page 2. GtK I IrIGA 1 t MULUtK l.A1Vl CLLA I IUIY CITYDIV City of Fort Collins Purchasing Division Attn: Jim Hume PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD No Text