The URL can be used to link to this page

Home My WebLink About414575 MAXIMUM PAI - INSURANCE CERTIFICATEACC) " CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 1/22/2016 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 Valerie Love, CIC, CISR NAME:Flood and Peterson PHo N E (970) 356-0123 F No: (970)330-1867 PO Box 578 anins: VLove@F1oodPeterson.com INSURERS AFFORDING COVERAGE NAIC S Greeley CO 80632 INSURER A :West field Insurance Company 24112 INSURED INSURERB:Pinnacol Assurance 41190 Maximum Painting, LLC INSURERC: 412 S Howes St. Ste C INSURERD: INSURER E : Fort Collins CO 80521 INSURERF: COVERAGES RFRTIFICATF IUI IIIARGR-CT.1 911 2214FAIA ortnc „emu KIN IRA 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMLDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X� OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500, 000 MED EXP (Any one person) $ 5,000 TRA3290427 12/1/2016 12/1/2017 PERSONAL & ADV INJURY $ 1,000,000 GEI PPOLICY AGGREGATE LIMIT APPLIES PER: II JET � LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED aEtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OS X SCHEDULED AUTOS AUTOS TRA3290427 12/1/2016 12/1/2017 BODILY INJURY Per accident) ( $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ Underinsured motorist $ 11000,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 �4DED AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE RETENTION$ $ TRA3290427 12/1/2016 12/1/2017 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) If es, describe under DESCRIPTION OF OPERATIONS below NSA I 4104129 5/1/2016 5/1/2017 PER X STATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured as respects Auto Liability & General Liability. I,HIV �.tLLH 1 IVIV (970)221-6707 jwilson@fcgov.com City of Fort 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 V Love, CIC, CISR/KST �- U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)