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HomeMy WebLinkAbout414575 MAXIMUM PAINTING LLC - INSURANCE CERTIFICATE (4)./� ® DATE (MM/DD/YYYY) A C CERTIFICATE OF LIABILITY INSURANCE 12/1/2015 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 CONTACT NAME: Valerie Love, CIC, CISR Flood and Peterson PHHO No Ext: (970) 356-0123 Fa Nc: (970)330-1867 PO Box 578 !-MAIL,,.VLove@FloodPeterson.com Greeley INSURED Maximum Painting, Llc 412 S Howes St. Ste C CO 80632 I INSURER(S) AFFORDING COVERAGE I NAIC # I C 24112 Fort Collins CO 80521 1 INSURERF: I CCIVFRAGFS CFRTIFICATF KIIIMRFR•CL1512107423 RFVICI(1N1 HI IMRFR- 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYV X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE C OCCUR DAMAGE To PREMISESS(Ea occurrence PREMISES $ 500,000 MED EXP (Any one person) $ 5,000 TRA3290427 12/1/2015 12/1/2016 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY7JEa LOC PRODUCTS - COMP/OPAGG $ 2,000,000 BLWOS $ OTHER: AUTOMOBILE LIABILITY COMBINED Ea accident SINGLE LIMIT $ 11000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOSS AUTOS TRA3290427 12/1/2015 12/1/2016 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS AUTOS Underinsured motorist $ 1,000,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED X RETENTION $ 10,000 $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y/N X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 11000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ElN/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 4104129 5/1/2015 5/1/2016 E.L. DISEASE- EA EMPLOYE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured as respects Auto Liability & General Liability. CERTIFICATE HOLDER CANCELLATION (970)221-6707 jwilson@fcgov.com 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 V Love, CIC, CISR/VLO Ca © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)