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HomeMy WebLinkAboutTHE WELL LLC DBA STARRY NIGHT - INSURANCE CERTIFICATE (3)THEWE-1 OP ID: SIG ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 03/14/2017 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 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 - 970-879-1363 Steamboat Select Insurance Grp P.O. Box 775124 = CONTACT House -Steamboat ME: _ - PHONE 970-879-1363 F 970-879-0239 A/c, No, Ext : AlC, No): Steamboat Springs, CO 80477 House - Steamboat EMA-IL ADDRESS: INSURE S AFFORDING COVERAGE NAIC # INSURER A:SeCUra Insurance 122543 INSURED The Well, LLC dba Starry Night Justin Wells 112 S. College Ave Ste 100 INSURERB: INSURERC: Fort Collins, CO 80525 INSURERD: INSURER E : INSURER F : COVERAGES CFRTIFICATF NI IMRFR• DaVICIr1N kill IIUIRCD• 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 LTRIN TYPE OF INSURANCE ADDL SD SUB WV POLICY NUMBER POLICY EFF MM DD POLICY EXP M D LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X BP3250857 03/31/2017 03/31/2018 EACH OCCURRENCE $ 1,000,000 PAGE TO RENTED MISES (Ea occurrence)$ 500,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El ippef 7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1 000,000 $ BODILY INJURY Perperson) $ ANY AUTO BP3250857 03/31/2017 03/31/2018 BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY AUTOS X PROPERTY DAMAGE Per accident $ HIRED X NON rNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE [] AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under N/A STATUTE E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A Property Section BP3250857 03/31/2017 03/31/2018 Building 16,000 BPP 212,242 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD