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Home My WebLink About280698 NORTHSTAR DESIGN - INSURANCE CERTIFICATE (5)A CERTIFICATE OF LIABILITY INSURANCE 38/2D017) /1 THIS CERTIFICATEIS 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 endorsements . PRODUCER DANIEL BOONE AGENCY LLC/PHS 531273 P: (866) 467-8730 F: (877) 538-8526 PO BOX 29611 CHARLOTTE NC 28229 CONTACT NAME: (A(cNN.Ext) (866) 467-8730 FA.N.) (877) 538-8526 AEORIesS INSURER(S) AFFORDING COVERAGE NAIG# INSURERA: Hartford Casualty Ins Co INSURED NORTH STAR DESIGN, INC 700 AUTOPtiAT ION DR UNIT I WINDSOR CO 80550 INSURER B INSURER C. INSURER 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,EXCLUS IONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTA TYPE OF ASIIILiNCE ADDL INSA YLWR tf'I' POLICYNUMBER POLICT EFF M:11/DD/YYY POLIGT EAP LLWIS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR General Liab 84 SEA PA6868 04/13/2017 04/13/2018 EACH OCCURRENCE $1, , 000, 000 DAMAGE TO RENTED PREMISES (Ea occurrence) S 3 0 0, 0 0 0 _ X GEN'L MED EXP (Any one person) ;10L000 PERSONAL & ADV INJURY �; 1, 0 0 0, 0 0 0 AGGREGATE LIMIT APPLIES PER: POLICY � PRO F] LOC JECT OTHER: GENERAL AGGREGATE �; 2 , 0 0 0 , 0 0 0 PRODUCTS - COMP/OP AGG s2,000, 000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 84 SBA PA6868 04/13/2017 04/13/2018 COMBINED SINGLE LIMIT (Ea accident) $1 0 0 0 0 0 0 � � BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DE RETENTION $ WOR6I..RSOO MPENS.MON aN'DEUPLOYERS'LLIBAUTY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ❑ If yes, describe under DESCRIPTION OF OPERATIONS below AyA IPER OTH- ISTATUTE ER E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE E.L. DISEASE -POLICY LIMIT ' DESCRIPTION OF OPERATIONS/LOCATIONS /VEHIGPKK)RD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION Citv of Fort Collins Attn: Purchasing Division 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 5 ACORD CORPORATION. All rights resery ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD