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Home My WebLink About133693 CGRS INC - INSURANCE CERTIFICATE (13)�.� CGRSINC-01 LPREWITT ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 14./ F 12/12/2017 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 endorsement(s). CONTACT PRODUCER NAME: - PFS Insurance Group PHONE F 4848 Thompson Parkway Suite 200 tE n Lo, Ext): (970) 635-9400 (Arc, No):(970) 635-9401 Johnstown, CO 80534 RE . info@mypfsinsurance.com INSURED C G R S, Inc. & CA TESTCO, LLC 1301 Academy Court Ft. Collins, CO 80524 INSURER F : Admiral Insurance Comp: Allmerica Financial Benefit Pinnacol Assurance Co OC\/ICIl1\I Kit IRA12C0- 1190 I.UVtKAbCA %.rV_rnI1171 �r�r.a,�.�..,�... --------- 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. ADDLISUBR INSR TYPE OF INSURANCE p yyV POLICY EFF POLICY EXP POLICY NUMBER MM MMI /YYYY LIMITS 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE �X OCCUR �( FEIECC1329004 03/01/2017 03/01/2018 DAMAGE RENTED en $ 55,000 X Blanket Add'I Insd MED EXP An one person)$ 5,000 1,000,000 X Blanket Waiver PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑X jE�T LOC PRODUCTS - COMP/OPAGG $ OTHER: COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY Me $ X ANY AUTO X AW4A232142 03/01/2017 03/01/2018 BODILY INJURY Per person)$ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ N pWN X AUTOS X AUTOS PerOaoadeTMrltDAMAGE $ ONLY ONLDY X Blanket Add] Insd X Blanket Waiver 10,000,000 A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE FEIEXS1329104 03/01/2017 03/01/2018 $ 10,000,000 X AGGREGATE DIED X RETENTION $ 0 $ C WORKERS COMPENSATION R OTH- X PEA LITE I ER E.L. EACH ACCIDENT 1,000,000 $ AND EMPLOYERS' LIABILITY Y / N 4029480 01►0112018 01/01/2019 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE 1,000,000 $ (Mandatory in NH) E.L. DISEASE - POLICY LIMIT 1,000,000 $ If yes describe under D DESCRIPTION OF OPERATIONS below Leased/Rented Equip RH4A231842 03/01/2017 03/01/2018 $1,000 Deductible 200,000 A Pollution/Profession FEIECC1329004 ' 03/01/2017 03/01/2018 Limit Per Claim 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) holder is included as additional insured for ongoing operations under general liability and auto liability. If required by written agreement, the certificate 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 (2016/03) lJ lyS2f-�uia A�.vrcu �.vrcrvr�rll lvla. ran rryrraa The ACORD name and logo are registered marks of ACORD