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Home My WebLink About357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (12)CERTIFICATE OF LIABILITY INSURANCE ( 4/30/2018) 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 PH (866) 467-8730 .No): (888) 443-6112 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: Hartford Casualty Ins Co INSURED LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 3912 W EISENHOWER BLVD LOVE LAND CO 80537 INSURER B : INSURER C INSURER D: INSURER E: INSURER F COVFRAGFS, 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 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 IYPE OF INSURANCE ADDI SURR POLICYNUDfBER POLL FEFF D/FTF I'0LIGTE'VP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ;, 2, 0 0 0, 0 0 0 CLAIMS -MADE rJ OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence ) 5 3 0 0r 000 X X MED EXP (Any one person) $10r 000 A General Liab 34 SBA PE5367 05/26/2016 05/26/2019 PERSONAL & ADV INJURY ;2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE c 4,000,000 POLICY [7 PRO FT]LOG JECT PRODUCTS - COMPIOP AGO � 4 , 000, 000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 52 0 0 0 0 0 0 r r BODILY INJURY (Per person) ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 34 SBA PE5367 05/26/2018 05/26/2019 BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) 3 X HIRED X NON -OWNED AUTO:; ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1 , 000, 000 A EXCESSL[AB CLAIMS -MADE 34 SBA PE5367 05/26/2016 05/26/2019 AGGREGATE $1, 000, 000 MDE X RETENTION $1 O O O O S wOJIXF scrwPENSAMIN PER OTH- STATUTE ER ANDEWLOYEBSLLiBD.I7T E.L. EACH ACCIDENT ANY PROPP.IETORIPARTNER/EXECUTIVEYIN OFFICER/MEMBEREXCLUDED? (Mandatory in NH) ❑ NIA E.L. DISEASE- EA EMPLOYEE ,. ' 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. City of Fort Collins are Additional Insured per the Business Liability Coverage Form SS0008. 1 t_ HULUtK City of Fort Collins ATTN: Jerri Groves 215 N MASON ST FORT COLLINS, CO 80524 liAl%k r_LLAI IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ed.