HomeMy WebLinkAbout474788 ALL STRIPES AND MAINTENANCE LLC - INSURANCE CERTIFICATEAC"R" CERTIFICATE OF LIABILITY INSURANCEF3/7/2018
DATE (MM!DD/YYYY)
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 a .
PRODUCER
TrueNorth Companies, L.C.
275 S. Main
Longmont CO 80501
NAME; RM Longmont
PHONE FAX
a! : 303-776-5122 Arc No):
E-MAIL DRESS: certs truenorthcom anies.COm
INSURERS) AFFORDING COVERAGE
NAIC p
INSURER A: Artisan and Truckers Casualty Comp ny
10194
INSURED ALLSTRI-01
All Stripes & Maintenance, LLC dba Rocky Mountain
PO Box 1399
INSURER B : Pinnacol Assurance Company
41190
INSURER c : Ohio Security Insurance Company_
24082
INSURER D :
Fort Collins CO 80522
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:442917149 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.
—'-
IN
TR
_
TYPE OF INSURANCELNM
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM1DD/YYYY
LIMITS
C
X
COMMERCIAL GENERAL LIABILITY
_
CLAIMS -MADE i X 1 OCCUR
Y
BK555859658
2/28/2018
2J2812019
EACH OCCURRENCE
$1,000,000
—---- -
DAMAGE TO RENTED
PREMISES IEa occurrence
$ 300,000
MED EXP (Any one person)
$15.000
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JEC7PRO 7, LOG
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP.'OP AGG
$ 2,000,000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED X SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Y
06547032-0
2116/2018
2J16/2019
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
_
BCXIILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAR
EXCESS LIAR
OCGUR
CLAIMS -MADE
EACH OCCURRENCE _
$
AGGREGATE
$
DED RETENTION
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PART-NER/EXECUTIVE Y 1 N
OFFICER/MEMBER EXCLUDED? F7]
(Mandatory In NH)
It yyes, describe under
DESCRIPTION OF OPERATIONS below
NIA
4208245
302018
3/1/2019
EOTH-
X PEST
_�STATUTE
E.L. EACH ACCIDENT
---------
$ 100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
E.L. DISEASE - POLICY LIMIT
$ 500 000
F.7
DESCRIPTION OF OPERATIONS, LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
CFRTIFICATF HOI nFR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing Department
P O Box 580
Fort Collins CO 80522
AUTHORIZED REPRESENTATIVE
USA
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD