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HomeMy WebLinkAbout3 SISTERS LLC - INSURANCE CERTIFICATE (4)3SISTER-01 BADAMS ACORrO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/25/2017 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). PRODUCER CONTACT NAME: PFS Insurance Group PHONE --- -- -- -- FAX 4848 Thompson Parkway Suite 200 (EaC, No, Ext)_(970) 635-9400 _ _ (A/C, No):(970) 635-9401 Johnstown, CO 80534ADDRESS: info@mypfsinsurance.com INSURED 3 Sisters LLC Attn: Kathryn Higgins 1420 Riverside Ave. Suite 114 Fort Collins, CO 80524 .__NJSUREF")_AFFORDING COVERAGE INSURER -A Trave_lens.-Insurance_Group_ 25615 -_ INSURER B : INSURER C : INSURER D INSURER E : INSURER F : Cr)VFRAnFS CFRTIFICATF NI IMRFR• RF\/ICInAI Kit IMaGo- 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 TH!c 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POUCY EFF POLICY EXP LIMITS L 1 /DD/YYYY A X _ + EACH OCCURRENCE DAMAGE $ 1,000,000 CLAIMS -MADE XLlOCCUR X 1-660-3D83986 TO RENTED 106127/2017 06/27/2018 FIREARMSESLEacccurrence $ 1,000,000 - - -- 5,000 _ MED EXP (Any one person)_ - $ - - 1,0,000 -00 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2, 000000, POLICY �� jpeT LOC �PI RODUCTS-COMPIOP_AGG -_ _ $ 2r000,000 OTHER: $ AUT AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT -(Ea accident) ANY AUTO Ir BODILY INJURY `Per arson — P--�— $-- ---- OWNED ' SCHEDULEDAUTOS ONLY AUTOS BODILY INJURY (Per accident $ PROPERTY AMAGE PereccidaM�.-__..___. NON -OWNED AUTOS ONLY -- IAUTOSONLY $ UMBRELLA LIAB _ I OCCUR - �.-- EXCESS LIAB CLAIMS EACH OCCURRENCE -MADE - -- AGGREGATE — - —r - --- DED RETENTION$ $ WORKERS COMPENSATIONPER LITY i _ HTATDJRBI Y/N ANY /ECUTIVE -- OFFCEMEMBERECUDED? NIA EL—EACHACCIR- (Mandatory in NH) E.L DISEASE -_ E_A_EMPLOYEE: $ If yes, describe under _ DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ _ A ^roperty !-660-3nR3986 06/27/2017 06/27/2018 Tenants Improvements613,731 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, or written agreement, the Certificate Holder is included as Additional Insured for ongoing operations. l�tK I IFIUA I t t1ULUtK UANUtLLA I IUN Fort Collins Utility 700 Wood Street Fort Collins, CO 80521 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) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD