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Home My WebLink About357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (11)A CERTIFICATE OF LIABILITY INSURANCE 4/13(0/2018' THIS CERTIFICATEIS 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 endorsements . PRODUCER AFFORDABLE AMR INS/PHS 343638 P: (866) 467-8730 F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: <,vcN,Ext): (866) 467-8730 .No): (888) 443-6112 E-MAIL INSURER(S) AFFORDING COVERAGE NAICk INSURER Hartford Casualty Ins Cc INSURED LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 3912 W EISENHOWER BLVD LOVELAND CO 80537 INSURER B : INSURER C _ INSURER D: 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 l 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 TERM S,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. [N'SR TYPE OFINSUXANCE ADD SUU IKILIC'}`NUMKEII POLI(TEF'F MWDD/YYY Iy)1,KYL"XP LLHITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s2,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 5300 000 r X X MED EXP (Any one person) $10, 000 A General Liab 34 SBA PE5367 05/26/2018 05/26/2019 PERSONAL & ADV INJURY s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE A,000,000 PRODUCTS - COMP/OP AGG s4,000,000 POLICY � ECO- ❑X LOC OTHER- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) SZ 000, 000 r BODILY INJURY (Per person) ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 34 SBA PE5367 05/26/2018 05/26/2019 BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1, 000, 000 A EXCESSLWB CLAIMS -MADE 34 SBA PE5367 05/26/2018 05/26/2019 AGGREGATE $1, 000, 000 DE X RETENTION $10 r 0 0 0 S 1 PER OTH- WORKERS COMPENS4710N .4NDEMPLOY"S'L1A8"IT STATUTEER E.L. EACH ACCIDENT ANY PROPRIETORIPARTNER/EXECUTIVEY/N OFFICERIMEMBER EXCLUDED' ❑ (Mandatory in NH) N/A E.L. DISEASE- EA EMPLOYEE r E-L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS!LOCATIONS /VEHICPMRD 101. Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations - c nut_ur-M The City of Fort Collins Purchasing Dept PO BOX 580 FORT COLLINS, CO 80522 VMI\VCLLH I IVI% 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 REPRESENTAA77VE ACORD 25 (2016/03) »1 The ACORD name and logo are registered marks of ACORD ed.