The URL can be used to link to this page

Home My WebLink AboutJA ENTERPRISES LLC - INSURANCE CERTIFICATE01/28/2016 06:33 FAX a 0001/0001 ACORO�' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 01/28/2016 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 NICOLAS G LEZAMA, STATE FARM AGENT StateFarm 3527 W 12TH ST STE C GREELEY, CO 80634 cONTACTBETTY RANGEL NAME: PHONE 970-356-8502 FAXNo :970-356-2309 ADDRESS: BETTY@COLORADONEIGHBOR.COM INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:State Faith Fire and Casualty Company 25143 INSURED JA ENTERPRISES LLC 50 CHERRY AVE UNIT 6 EATON CO 80615 INSURER B: INSURERC: INSURERD: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 DESCRBED 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 ADDLSUB POLICY NUMBER POUCY EFF MMIDD/YYYY POUCY EXP MMIDDIYY Y LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADEF—I OCCUR BUSINESS LIABILITY 96-C6-I914-6 0710212015 07H3l20116 EA CH OCCURRENCE I $ 1,000,000 A PREMISES Ea occurcence I s X MEDEXP(Anyoneperson) I $ 5,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY EJET LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA L1AB EXCESS LIAS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ OED RETENTION $ 1 $ WORKERS COMPENSATION AND EMPLOYERS' LIABIIJTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) Ifes describe under DESCRIPTION OF OPERATIONS below N I A SPTER ERH" E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) GENERAL LIABILITY POLICY HAS BEEN ENDORSED TO ADD CITY OF FT. COLLINS AS ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 LAPORTE AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT COLLINS CO 80521 ACCORDANCE WITH THE POLICY PROVISIONS. I FAX 970-221-6295 THORIZED REPWZMM471VE VV�1 1 8-20 4 CORPORATION. All h erve . ACORD 25 (2014101) The ACORD name and logo are registered r s of ACORD 1001486 132849.9 02-04-2014