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HomeMy WebLinkAboutSOILOGIC INC - INSURANCE CERTIFICATE (4)ACORN►® CERTIFICATE OF LIABILITY INSURANCE r�-- DATE (M 04; 091201YYY} 12018 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 Javier Perez NAME: Flood and Peterson a/c No Ext (970) 356-0123 ,Ac No):(970) 330-1867 E-MAIL JPerez@FioodPeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURER A: Plnnacol Assurance 41190 INSURED INSURER B : Everest Indemnity Insurance Co. 10851 INSURER C : S011oglc, Inc. INSURER D : 3050 67th Avenue, Suite 200 INSURER E : INSURER F Greeley CO 80634 COVFRAr,FS CERTIFICATE NUMBER- CL184922796 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMfDDYYYY MM DD YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES Ea occurrence' S htED EXP (Any one person) S PERSONAL& ADV INJURY S GEMLAGGREGATE LIMIT APPLIES PER : GENERAL AGGREGATE S POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP(OP AGG S S OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE iPer accident S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y r N ANY PROPRIETOR/PARTNERrEXECUTIVE OFFIC ERIMEMBER EXCLUDED? (Mandatory In NH) N/A 4093786 06/01/2017 06/01/2018 X STATUTE ERH E.L. EACH ACCIDENT 1,000,000 S E.L. DISEASE - EA EMPLOYEE S 1,000,000 It yes, describe under CESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ ,600.000 B Professional Liability PLE000091-181 04/20/2018 04l2012019 Occurrence/Aggregate $ 1l2,000.000 Deductible $ 15,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) CCATIFICATC WC11 rIFR CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 281 N. College Ave. AUTHORIZED REPRESENTATIVE CO 80524 %•� Fort Collins Y i @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD