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Home My WebLink About235414 JUDGE NETTING INC - INSURANCE CERTIFICATE (7)A`40RU CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) F11/31/1U15 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 Robert Harris Insurance Agency, Inc. Lic. #0216736 3150 Bristol St., Suite 200 Costa Mesa CA 92626 CONTACT NAME: Susie Harris HCNNo Ext: (714) 619-4480 AAIXC No: (714)619-4481 E-MAIL ADDRESS: susie@reharris.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Insurance Company 23043 INSURED Judge Netting, Inc. 427 E. 17th St. Costa Mesa CA 92627 INSURER B:Ne the rl ands Insurance Company 24171 INSURER C:C ress Insurance Company INSURER D: Continental Divide Insurance Co INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:16/17 Liability 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 SUER POLICY NUMBER POLICY EFF MMDDNYYY POLICY EXP MM DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE Fx_1 OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 CBP8993288 1/1/2016 1/1/2017 PERSONAL BADVINJURY $ 1,000,000 CEN'L ACCRECATE LIMIT APPLIES PER: GENERAL ACCRECATE 6 2,000,000 II JPRO- POLICY ❑ LOC P1 PRODUCTS - COMP/OP AGG $ 2,000,000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY MBINED SINGLE L]MIT (Ea accident) $ 1,000,000 B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 13A6994288 1/1/2016 1/1/2017 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOSPXAUTOS X Medical Expense $ 5,000 Comp - $1,000 Coll - $1,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE CU8994488 1/1/2016 1/1/2017 DED I X I RETENTIONS 00.00 31 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE JTJWC702819 X PER TH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / %t JUWC703050 1/1/2016 1/1/2017 E.L. DISEASE - EA EMPLOYE $ If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Contractors Equipment CBP8993288 1/1/2016 1/1/2017 Leased/Rented Equipment $800,000 Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees are named as Additional Insureds as their interest(s) may appear regarding any and all work performed by the above named insured per attached GECG970 0111 and GECA701 0107. CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box 580 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 f Blanca Orozco/BLANCA ACORD 25 (2014/01) INS025 (201401) [c� 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD