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HomeMy WebLinkAboutCOKAN ENTERPRISES INC - INSURANCE CERTIFICATE (5)-441111111 Ac<> "0 CERTIFICATE OF LIABILITY INSURANCE ATE Drrz6�zoz is 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(les) 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 Insurance Planning Inc. 3006 Broadway Avenue P. O. BOX 100 Bays KS 67601 NAM: CONTACT Kathy Casper PNONE (785)62S-S6O5FAX No:(785)625-8388 AIL DDDDRESS:caspka@insurance-planning. cam INSUR 9 AFFORDING COVERAGE NAIC0 INSURER A. -National American Insurance CO INSURED Cogan Enterprises Inc. 13831 County Line Road 22 Fort Lupton CO 80621 INSURERB:United Fire 6 Casualty13021 INSURER C: INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 Certificates 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 INSURANCEADOL POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP (MMfDDNYYYI LIMITS R COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE F—xl OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one Person) $ 5,000 MP12690005 6/27/2015 6/27/2016 PERSONAL B ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 R POLICY ❑ JEST LOC PRODUCTS - COMPIOP ADD s 2,000,000 $ OTHER: AUTOMOBILE LIABILITY Ea eBIINNEeDI SINGLE LIMIT It 1,000,000 BODILY INJURY (Per person) s B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 60416298 6/27/2015 6/27/2016 JX BODILY INJURY(Per accident )HIRED s AUTOS R NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY YIN ._ ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? NIA _ __ _.__ __ _ _ STATUTE ER_ E.L. EACH ACCIDENT s E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I s B Leased/Rented Equipment 60416298 6/27/2015 6/27/2016 Lund $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) Additional Insured in favor of the City of Fort Collins in regards to General Liability as their interest may appear. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80526 AUTHORIZED REPRESENTATIVE Kathy Kathy Casper/CASPKA —7-, 7 (2� 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 r?rttwt t