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HomeMy WebLinkAboutINLET STRUCTURES INC - INSURANCE CERTIFICATE (9)INLESTR-01 MARSHI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 05/31 /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 have ADDITIONAL INSURED provisions or 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 Shaleen Martin g-NAME: _ _ 225 Union l Blvd. #575ce, Inc.IrIC. PHONE / ) ^X ( ac, No, E:e : 1720 962-0930 lam, No); 720) 962-0942 Lakewood, CO 80228 AD Jss: smartin@slX-geving.com INSURED Inlet Structures Inc. INSURERC: Danny & Rachel Garza 5110 York St INSURER D : Denver, CO 80216 I INSURERE: rnVFRAGFS rFDTICIr`ATC rIHUDCD• D0v1e1nu .il la-m. 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 ADDLISUBR POLICY EFF POLICY EXP LTRPOLICY NUMBER MM DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE To RENTEDnc PREMISES (Ea occurre)MED CLAIMS -MADE X OCCUR X 3X23855 06/02/2018 06/02/2019 $ 300,000 EXP (Any oneperson) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 GEWL GENERAL AGGREGATE 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY X I JECT E LOC i PRODUCTS - COMP/OP AGG 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)-$ 1,000,000 BODILY INJURY Perperson) - - $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 3X23855 06/02/2018 OW0212019 BODILY BODILY INJURY Per accident PPeOr aaEcideTMnt AMAGE _ E AUTOS ONLY AUOTOS ONL� A X UMBRELLALIAB X OCCUR EACH OCCURRENCE 5,000,000 EXCESS LWB CLAIMS -MADE 3X23855 06/02/2018 06/02/2019 5,000,000 AGGREGATE DED X. RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN �NandER/M In NH) EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4016512 04/01/2018 04/01/2019 X PER OTH- UTE ER E.L. EACH ACCIDENT- E.L. DISEASE - EA EMPLOYE -- - E.L. DISEASE -POLICY LIMIT 1,000,000 $ 1,000,000 - - - 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is named as additional insured as respects General Liability if required by written contract. K SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, City of Fort Collins ACCORDANCE WITH THE POLICY PROVIS ONSCE WILL BE DELIVERED IN P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED pREEPRRES��ENTATI VE Ik ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD