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Home My WebLink About235414 JUDGE NETTING - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 12/26/2017 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 Robert Harris Insurance Agency, Inc. Lic. #0216736 3150 Bristol St., Suite 200 Costa Mesa CA 92626 CONTACT NAME: Adriana Lopez PHONE (714)619-4480 FAX (714)619-4481 IC N E t ; A/C No E-MAIL adriana@reharris.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:West American Insurance Company 44393 INSURED Judge Netting, Inc. 427 E. 17th St. Costa Mesa, CA 92627 INSURERB:American Fire & Casualty Company 24066 INSURERC:BHHC INSURERD:Continental Divine Insurance INSURER E: INSURER F : COVERAGES CFRTIFICATE NUMBER:18/19 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEINSD ADDL SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE T TE PREMISES Ea olccur ante $ 100,000 MED EXP (Any one person) $ 15,000 BKW58275737 1/1/2018 1/1/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY ❑ PRO ❑ X JECT LOC Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS BAA58275737 1/1/2018 1/1/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Medical Expense $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5, 000, 000 B EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ ESA58275737 1/1/2018 1/1/2019 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ JUWC908357 1/1/2018 1/1/2019 X STATUTE OE E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYE $ 1, 000 , 000 D OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A JUWC908497 1/1/2018 1/1/2019 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees are named as Additional Insureds as their interest(s) may appear regarding any and all work performed by the above named insured per attached CG8810 04/13 , CG 2037 0704 and CABB10 01/13. CERTIFICA I E HULUtK i1MI4\1CLLN I lulm 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 Lauren Atkinson/ALO --- ACORD 25 (2014/01) INS025 (201401) U 1985-ZO14 AUUKU (:UKYUKA I IUN. All rlgnts reservea. The ACORD name and logo are registered marks of ACORD