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Home My WebLink AboutAMERICA'S VARIETY FOOD CART LLC - INSURANCE CERTIFICATE (2)® ACC)R o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/16/2015 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 Western Insurance Solutions Inc CONTACT NAME: Elizabeth A Kennedy A/CONNo Ext : (719) 594-6883 FAX, No): (719) 532-9996 E-MAIL err wisins.com ADDRESS: 1 Y@ 4740 Flintridge Drive, Suite 115 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: OHIO SECURITY INSURANCE COMPANY 24082 Colorado Springs, CO 80918 INSURED INSURER B : INSURER C : America's Variety Food Cart LLC INSURER D : 3518 Worwick Dr INSURER E : INSURER F : Fort Collins CO 80525 rnVFRAnFR C:FRTIFIrATF NIIMRFR- REVISION NUMBER: 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY _lDA A TO RENTED PREMISES Ea occurrence $ 300000 MED EXP (Any one person) $ 15000 CLAIMS -MADE FXJ OCCUR PERSONAL & ADV INJURY $ 1000000 A BKS55723791 09/13/2015 09/13/2016 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 $ PROX T LOC POLICY 7 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1000�00 _ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ A ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS BKS55723791 09/13/2015 09/13/2016 PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE NONE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNFR/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) N / A NONE TWRY C STATU- OTH- IMIT I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins 215 N Mason Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Fort Collins CO 80524-4402 Ai4tr^� ACORD 25 (2010/05) @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD