Loading...
HomeMy WebLinkAboutPALMER PROPERTIES LLC - INSURANCE CERTIFICATEDATE (MM/DD/YYYY) �© CERTIFICATE OF LIABILITY INSURANCE 71/31/2018 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 WhitneyMorgan, CLCS, CISR NAME: : g FlOOd and Peterson PHONE E (970) 356-0123 FAX WC,No: (970)330-1867 E-MAIL 78 E-MAIL c• WMor3an@floodP eterson.com PO Box 5 INSURER(S) AFFORDING COVERAGE NAIC B Greeley CO 80632 INSURERA:Travelers Property Casualty Company 25674 INSURED INSURERB:Travelers Indemnity Company 25658 Palmer Properties, LLC INSURERC: 3711 John F. Kennedy Parkway INSURERD: Suite 317 INSURERE: Fort Collins CO 80525 INSURERF: rnvGpAr_rQ rFRTIFIrATF NIIMRFR•CL1813121808 REVISION NUMBFR: 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 LTR ADDL SUER POLICY NUMBER OLICY EFF PNVDD/YYYY XP POLICY EYY MWDO/ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y6304F872116TIL17 2/1/2018 2/1/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE ( RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRO- X POLICY JE C- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 $ $ AUTOMOBILE LIABILITY X ANY AUTO B ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BA4F87493317CAG 2/1/2018 2/1/2019 MIN D SINGLE LIMIT Ea accident $ 11000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PPReOPcERT DAMAGE $ Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X OCCUR A EXCESS LIAB CLAIMS -MADE DED X RETENTION 10,000 YSMCUP4F872116TIL17 2/1/2018 2/1/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 7 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Ya OFFICER/MA (Mandatory in ER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A YJUB4F88571417 2/1/2018 2/1/2019 X STATUTE ERPER H E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Contractors License CERTIFICATE 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 Morgan, CLCS, CISR/ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)