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Home My WebLink AboutSURROUNDINGS LLC - INSURANCE CERTIFICATE (4)SURRLLC-01 LPREWITT FACORO DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/23/2018 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 NAM : PFS Insurance Group 4848 Thompson Parkway Suite 200 loco, No, Ext : (970) 635-9400 FAX No :(970) 635-9401 Johnstown, CO 80534 ADDRE • InfO mypfsinsurance.com INSURED Surroundings LLC PO Box 339 Timnath, CO 80547 A: r•AVCOAr_CC /^CDTIVIr`ATC Kit IRAI FD• RG\/ICIrIAI KII IRII 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ❑X OCCUR X39278 04/01/2018 04/01/2019 DAMAGE TO RENTED EMI E Ea occurren REMISES S00,000 $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY r-] PRO- LOC �_ JECT OTHER. A AUTOMOBILE LIABILITY Ee accderMSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO X39278 04/01/2018 04/01/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per. er accident $ AUTOS ONLY NON- ONED A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS -MADE X39278 04/01/2018 04/01/2019 AGGREGATE $ DIED I I RETENTION $ Aggregate 1,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- TAT R E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED (Mandatory In NH) N /A I E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT If yes. describe under DESCRIPTION OF OPERATIONS below A Personal Property X39278 04/01/2018 04/01/2019 '$500 Deductible I 700,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD