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Home My WebLink About556121 CRE8PLAY LLC - INSURANCE CERTIFICATECRE8P-1 OP ID: JH CERTIFICATE OF LIABILITY INSURANCE D01/14ATE /2016 ) 01/14/2016 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 endorsements . PRODUCER AmeriStar Agency, Inc. 800 E. Wayzata Blvd. #250 Wayzata, MN 55391 Mark J. Schadow, C.I.C. NAME: CONTACT Mark J. Schadow, C.I.C. PHONE 763-542-8377 ac No): T63-542-8977 AMCExt AIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Cincinnati 10677 INSURED CRE8PLAY, LLC INSURER B: INSURER C: 5121 Winnetka Ave N. New Hope, MN 55428 INSURER D INSURER E: INSURER F : VVYGRMV GJ v�� .. v�•r..v......�... ---. 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 POLICY NUMBER EFF MMIDDY/YYYY MM/DD/YY CY P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 A X_ COMMERCIAL GENERAL LIABILITY X CS00066381 01/17/2016 01/17/2017 MED EXP (Any one person) $ 5,00 CLAIMS -MADE FxI OCCUR PERSONAL B ADV INJURY $ 1,000,00 CS00066381 01/17/2016 01/17/2017 X Hired & Nonowned GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY PRO LOC COMBINED LIMIT AUTOMOBILE LIABILITY Ea accidentSINGLE $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED PROPERTY DAMAGE PERACCIDENT $ HIREDAUTOS AUTOS UMBRELLA LUAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WC STATU- OTH- WORKERS COMPENSATION IMIE AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EACH ACCIDENT $ E. L. DISEASE -F1+EMPLOYEE $ OFFICER/MEMBER EXCLUDED? ElE.L. (Mandatory in NH) N / A E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Project name: BE Community Park City of Fort Collins is listed as additional insured FORFOCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE �m CA iift)ri� V 1H66-LUTU NIiVRV VVRr'VRNI wn. ran rryuw rcacr •cam. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD