Loading...
HomeMy WebLinkAboutTHE WELL, LLC DBA STARRY NIGHT - INSURANCE CERTIFICATETHEWE-1 FDATE(MMIDDYYYY) 03/14/2018 ACORO"' CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER 970-879-1363 Steamboat Select Insurance Grp P.O. Box 775124 Steamboat Springs, CO 80477 House - Steamboat CONTACT House -Steamboat NAME: PHONE 970-879-1363 FAX 970-879-0239 (AIC, No, Ext): (AIC, No): AIL ADDRE INSURERS AFFORDING COVERAGE NAIC # INSURER A:SeCura Insurance 22543 INSURED The Well, LLC dba Starry Night Justin Wells INSURER B : 112 S. College Ave Ste 100 INSURERC: INSURER D : Fort Collins, CO 80525 INSURER E : INSURER F : CnVERAGES CERTIFICATE NI IMRER• 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR Y BP3250857 03/31/2018 03/31/2019 DAMAGE TO RENTED EMISES (Ea occurrence) $ 500,000 MED EXP (Any one erson 5,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 X POLICY JECPROT ❑ LOC OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ ANY AUTO BP3250857 03/31/2018 03/31/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS Re, :.,d DAMAGE $ X AUTOS ONLY X AUOTOS ONL� UMBRELLA LIAB OCCUR EACH OCCURRENCE $ Ld AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANY ECUTIVE E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE OFFICER/MEMBPROPRIETOER/EXCLUDED? ❑ (Mandatory in NH) NIA E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Property Section BP3250857 03/31/2018 03/31/2019 TIB 17,000 BPP 212,242 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) BP0407 rrCDTlrvrATl= unI ncD CAMCEI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD