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HomeMy WebLinkAbout100753 AQUATICS ASSOCIATES INC - INSURANCE CERTIFICATE (7)AQUAT-1 OP ID: DA .4- O CERTIFICATE OF LIABILITY INSURANCE � DATE011(MM/11 /2018Y) 018 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 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 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 CONTANAME: Diana Vigil PHONE FAX ac No Ell: 970-494-4668 ac No : 970-484-4165 ppD'�R'Ess: dvigil@bbcolorado.com House Account INSURERS AFFORDING COVERAGE NAIC # INSURER A:Pinnacol Assurance Company 41190 INSURED Aquatics Associates, Inc. INSURER B: Scottsdale Insurance Company 41297 Tami Schneck 3013 E Mulberry St INSURER C: Hartford Underwriters Ins Co 30104 Ft Collins, CO 80524 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 AD UBR7 POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE a OCCUR X CPS3009967 01/01/2018 01/01/2019 DAMAGE TRENTED PREMISES Ea occurrence $ 10000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 1,000,00 $ OTHER AUTOMOBILE LIABILITY COEaMBINED accidentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ C X ANY AUTO X 34UECAQ4574 01/01/2018 01/01/2019 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 2218672 01101 /2018 01 /01/2019 PER STATUTE E.L. EACH ACCIDENT$ nLYEE 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E.L. DISEASE - EA EM $ SOO,OO E.L. DISEASE - POLIC$ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) jstephen@fcgov.com 970-221-6 77 CERTIFICATE HOLDER CANCELLATION CITFORT 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 Purchasing Gerry Paul AUTHORIZED REPRESENTATIVE 215 North Mason / Fort Collins CO 80524 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AQUAT-1 PAGE 2 NOTEPAD INSURED'SNAME Aquatics Associates, Inc. OP ID: DA Date 01/11/2018 When required by written contract the following applies: 'eneral Liability: Blanket Additional Insured - GLS150 07-06 automobile: Blanket Additional Insured - HA9916 03-12 Primary and Non -Contributory - HA9916 03-12 Blanket Waiver of Subrogation - HA9916 03-12 Blanket 30 day notice of Cancellation - IHO3130611 4orkers Compensation: Blanket Waiver of Subrogation 359-B