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HomeMy WebLinkAbout455983 ASPEN ENTERPRISES OF NORTHERN COLORADO INC - INSURANCE CERTIFICATE (5)ASPEN-4 OP ID: DA ACORO® CERTIFICATE OF LIABILITY INSURANCE r ATE06/19/(M/2015 Y) ��- 015 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 NAME CT House Account Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 a/CONN El:970-482-7747 FAX N,: 970-484-4165 Fort Collins, CO 80525 E-MAIL House Account ADDRESS: INSURER A: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises of Northern INSURER B:Plnnacol Assurance Company 41190 Colorado, Inc. INSURER C:Old Republic Surety Company 40444 504 Mail Creek Ct Ft Collins, CO 80525 INSURERD: INSURER E : INSURER F : COVFRAGFS CFRTIFICATF NIIMRFR- RFVISION 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 iADDL $UBR D POLICY NUMBER POLICY EFF MM/DD(YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE _^ OCCUR J X 60448507 07/01/2015 07/01/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY ❑O- JPRO LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000 0O r BODILY INJURY (Per person) A ANY AUTO X 60448507 07/01/2015 07/01/2016 $ ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY (Per accident) X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A ':4038548 07/01/2015 07/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,00 C Crime W150196966 07/01/2015 07/01/2016 Crime 10,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Buildings A&B, 3400 W. Vine, Fort Collins, CO - City of Fort Collins is included as Additional Insured with respects to General Liability and Autombile. GA FTCPURC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Department PO Box 580 AUTHORIZED REPRESENTATIVE, / Fort Collins, CO 80522 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ASPEN-4 NOTEPAD INSURED'SNAME Aspen Enterprises of Northern OP ID: DA When Required by written contract the following applies: General Liability - CG7151 1215 Automatic Additional Insured - Owners, Lessees or Contractors Automatic Additional Insured - Vendors Automatic Additional Insured - Lessor of Leased Equipment Automatic Additional Insured - Managers or Lessors of Premises Automatic Additional Insured - Employee Injury to another employee Per Project Aggregate Per Location Aggregate PAGE 2 Date 06/19/2015 ASPEN-4 OP ID: DA ACOROm r ATE YY) (MM/DDlYY CERTIFICATE OF LIABILITY INSURANCE 06/19/ 015 DIYY 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 NAME: House Account Brown & Brown Inc PHONE FAX 4532 Boardwalk Dr, Suite 200 A/C, El :970-482-7747 , No): 970-484-4165 Fort Collins, CO 80525 E-MAIL House Account ADDRESS: INSURERS AFFORDING COVERAGE NAIC fl INSURER A: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises of Northern INSURER B : Pinnacol Assurance Company 41190 Colorado, Inc. INSURER C:Old Republic Surety Company 40444 504 Mail Creek Ct Ft Collins, CO 80525 INSURERD: INSURER E : INSURER F : COVFRAGFS CFRTIFICATF NtIMRFR- REVISION NLIMBFR- 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 ADDL UBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR X I60448507 07/01/2015 07/01/2016 DAMA ETO RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0011 POLICY ❑ PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY COEa accidentSMBINED INGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) _ $ A ANY AUTO X 60448507 07/01/2015 07/01/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident X X NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 4038548 07/01/2016 07/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ 600,00 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ SDD,DD C Crime W150196966 07/01/2015 07/01/2016 Crime 10,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE:102 Remington St, Fort Collins, CO - City of Fort Collins is included as Additional Insured with respects to General Liability and Autombile. CFRTIFICATF HOI nFR CANCFI I ATION FTCPURC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Purchasing Department PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 � / © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ASPEN-4 PAGE 2 NOTEPAD INSURED'SNAME Aspen Enterprises of Northern OP ID: DA Date 06/19/2015 When Required by written contract the following applies: General Liability - CG7151 1215 Automatic Additional Insured - Owners, Lessees or Contractors Automatic Additional Insured - Vendors Automatic Additional Insured - Lessor of Leased Equipment Automatic Additional Insured - Managers or Lessors of Premises Automatic Additional Insured - Employee Injury to another employee Per Project Aggregate Per Location Aggregate