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HomeMy WebLinkAbout474788 ALL STRIPES & MAINTENANCE LLC - INSURANCE CERTIFICATE (10)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY 2/14/2018 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 TrueNorth Companies, L.C. 275 S. Main Longmont CO 80501 CONTACT NAME: Carrie Mercier PHONE - - - FAx ,n/c N Ext: 303-774-5414 (MC.No:303-776-5495 ADDRESS: cmercier@truenorthcom anies.com INSURER S) AFFORDING COVERAGE NAIC i INSURER A: Auto Owners Insurance Company 18988 INSURED ALLSTRI-01 All Stripes & Maintenance, LLC dba Rocky Mountain P O Box 1399 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER D : Fort Collins CO 80522 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:292173914 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 TR rypE OF INSURANCE ADDL UB POLICY NUMBER POLICY EFF MM/DDIYYY POLICY EXP MM/ D/YY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE S PREMISAG E (a oA urrence)S MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY LOC P' PRO-17, JECT OTHER: GENERAL AGGREGATE $ S PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ S A x UMBRELLA LAB EXCESS LIAB X JOCCUR CLAIMS -MADE 4625658702 2/28/2018 2/28/2019 EACH OCCURRENCE $2,000,000 AGGREGATE S DE D X RETENTIONS 1 0,0po $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORIPARTNER/EXECUTIVE ❑ (OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under � DESCRIPTION OF OPERATIONS below N/A 4191238 4/1/2018 4/1/2019 1 PER OTH- STATUTE ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE - POLICY LIMIT $ 500,OD0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) I,tKIIhII.AIt HULUtK CAN(:tLLAIIUN The City of Fort Collins Purchasing Department P O Box 580 Fort Collins CO 80522 USA 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 111 k. © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD