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Home My WebLink About474788 ALL STRIPES & MAINTENANCE LLC - INSURANCE CERTIFICATE (8)ACORL® CERTIFICATE OF LIABILITY INSURANCE 1111 DATE (MM/DD YVY ) 1 1/13/2016 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 y Liberty Mutual Insurance PO Box 188065 Fairfield, OH 45018 CONTACT NAME: PHOAIC_NENo' .1 800-962-7132 FAX No): 800-845-3666 E-MAIL ADDRESS: BusinessService@Libe!IyMutual.com INSURER(S) AFFORDING COVERAGE NAIC d INSURERA: Ohio Security Insurance Company 24082 INSURED All Stripes & Maintenance LLC DBA INSURER B : INSURER C : INSURER D: PO Box 1399 INSURER E: Fort Collins CO 80522 [INSURER F -r0VFRAr=Ft CERTIFICATE NUMBER: 7R177"AS 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. IN RI LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MMIDDPOLICY/YYYY IEFF EXP MM/DDY/YWV LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �✓ OCCUR ✓ BKS55859658 2/28/2016 2/28/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Me occurrence S 300,000 MED EXP (Any one person) $ 15,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 ✓ POLICY 0 PELT LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PeOrac TY DAMAGE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE PER OERT STATUTE ER E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICE RIMEMBER EXCLUDED? ❑ (Myandatory in NH) NIA E.L. DISEASE - POLICY LIMIT S DEes, describe under SCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Fort Collins, Purchasing Division is Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional Insured Provision. ►� y rw r Lea �-�. v� � n y.� City of Fort Collins Purchasing Division PO Box 58 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 POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Desirae Mohr t14/\) I '1A�"A'\/IllJ.1fh�lV1—l/ J V 1988-2014 ACORD CORPORA I ION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 29127135 1 55059650 1 16-1? Master Certificate I Desirae Mohr 1 1/13/2016 3:40:09 PM (EST) I Page 1 of 1