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Home My WebLink AboutKOBOBEL FIRE PROTECTION LLC - INSURANCE CERTIFICATE (4)--o"N KOBOFIR-01 JC0111 .44cOR0 DATE (MMIDDrMY) �,.� CERTIFICATE OF LIABILITY INSURANCE 3121/2017 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 C NTACT N.ME: ............................... CoBiz Insurance, Inc, - CO PHONE 1401 Lawrence St., Ste. 1200 ; IA/C, No, Ext) (303) 988-0446 (AAic, No):(303_) 988-0i304 Denver, CO 80202 MMDIESS: COMail�colsizinsurance.com INSURED INSURER_@_.OtliO5®CurityInsurance .go.mPa y........_.... Kobobel Fire Protection, LLC INSURER C Pinnacoi Assurance, Company 7380 Greendale Rd, Suite B INSURERp_:_Houston._CasualtyCo_................................................................. Windsor, CO 80550 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 Ol"HER DOCUMENTWITH 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. ..........................................._...................._........................................_..........---........_......................,................T................,.................................................................... INSR ADDL:SUBR� TYPE OF INSURANCE INSD yyyp POLICY NUMBER .................... ,........................-........................................................................ ......................................... ........................... ........................ .._._...................._ POLICY EFF POLICY EXP {(gl�ll(rI(IfYYYYI tMMjj}OlYYYYI _ __ LIMITS ........ _..........._.._.._........ _ A X COMMERCIAL GENERAL LIABILITY �— EACH OCCURRENCE $ 1,000,0401 CLAIMSMADE X uR RCS0050100 .... ... ...... r.. _ 08/31/2016 : 08/31/2017 O RENTED ) .......... _. . 100,000 MEDEct..(hny_Pne.personl.........._..$.---`1..... 6,000 —..... .......................... 0,000 rEcOYN�&_QVINJUPY $ GEN'L AGGREGATE LIMIT APPLIES PER, �EPlERAL RGGRE.rthTE................5.............................. 2,000;OQO . POLICY X Ps�� I_C'H. ....._.. Pr2Cr�JCTS - AMPtO AGC ,...5..................... .... 2,000,000 JCiB51TE POLLUTI 500,000 p?HER: 3 ' AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT 1,000,000 1 X ANY AUTO �BAS57209852 03/15/2017 03115/2018 BODILY INJURY +F eI Peispn) OWNED — SCHEDULED I AUTOS ONLY AUTOS BODILY INJURY (Per eccrdenb' $ _ -- �--4 c ��D A�J S ONLY _. AUTOS ONLY a� P RTY �Q E �MAG' acaJent A X UMBRELLA UAR - X OCCUR I E=tCH OCCURPENCE ; $_ 2'000'000 EXCESS LIAB ;LATHS -MADE -- I RUS400S700 08131 /2016 0813112017 AGGREGATE -- - _..... $_- -- -- DEG X PETEr S 10,000; Aggregate $ 2,000 000,: C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X I R i OTH " 7 F ! , !,Z.E YIN . ,.,333 07/01/2016 07/01J2017 3,000,000 ANY PROPRIETORIPARTNER;EXE,UTIVE F FFICERV EMBEP EXCLU DED, NIA, � t EACH ACCIDENT' $_ - -- ---- ---- Mand atory in NH) L DISEASE..- EA EM?LUYkE $._.__ 1,000,000 It Yy s aescrlbe under _ _ _ 1,000 000, DkSCRIP'T'ION OF OPERATIONS bekwv E:L. DISEASE - POLICY LIMIT ' $ D Professional Liabili IHCC1664809 03/1512017 j 03/15/2018 Deductible $5,000 1,000,000; I DESCRIPTION OF OPERATIONS ? LOCATIONS I VEHICLES 101, Additional Remarks Schedule, may be attached i4 more space is required) (ACORD i CERTIFICATE HOLDER CANCELLATION 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 City of Fort Collins PO Box 580 _.... _................................... --.._......... _.._...... ............. _._-._..---..._........... ............................................. ............ _................... ..................................------------.... .............. -...................................... ----------------------- -- - ACORD 25 (2016103) Q 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD