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Home My WebLink AboutKELBON INC DBA ROTO-ROOTER OF WELD CO - INSURANCE CERTIFICATEClient#: 34246 KEIBON ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/06/2017 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 CONTACT Sherri L Rutan NAME: Althans Insurance Agency, Inc. PHONE 440 247-6422 FA A/c No Ext : A/C, No), 440 247-2394 543 East Washington St. E-MAIL Slrutan@althans.com P.O.Box 570 INSURER(S) AFFORDING COVERAGE NAIC # Chagrin Falls, OH 44022 INSURER A: Ohio Security Insurance Co 24082 INSURED INSURERB: Technology Insurance Company 42376 Keibon, Inc. dba INSURER C : Progressive 24260 Roto-Rooter of Weld Co. 637 N. US Highway 287 INSURER D Fort Collins, CO 80524 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 CONTRACTOR 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 RI LTR TYPE OF INSURANCE ADDLSUB INSR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR PD Ded:500 BKS57602189 11/07/2017 11/07/2018 EACH OCCURRENCE $1 000,000 PREMISESOEaoNcu ante $300000 X MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: � PRO - POLICY "J JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS BAS57602189 11/07/2017 11/07/201 EOMBIN accidentSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNERlEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? F—Y] (Mandatory in NH) If ves, describe under DESCRIPTION OF OPERATIONS below N / A TWC3668048 11/07/2017 11/07/201 RLLTE OTH- PEAT ER E.L. EACH ACCIDENT $500 000 E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE - POLICY LIMIT s500,000 C Automobile Policy 041045870 9/05/2017 09105/2018 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (GtK I IFK:A I t MULUtK L ANI.tLLA I IUIV The City of Ft Collins PO Box 580 Fort Collins, CO 80522 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 1ARR-2014 ACORD CORPORATION- All rights reserved ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S622504/M622014 SLA