Loading...
HomeMy WebLinkAboutNOCO FROZEN TREATS LLC - INSURANCE CERTIFICATE (5)KONAI-1 01P D: ACOR O DATE (MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 03/13/2017 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 970-674-8825 1 CONTACT Michael T Ball Renaissance Insurance Group P O Box 478 101 E Main Street Windsor, CO 80550 Michael T Ball PHONE _ „ 970-674-8825 I F^ „_,.970-674-8826 I m INSURER A: Continental Western Group 10804 INSURED Kona Ice of Northern Colorado INSURER 8 : Plnnacol Assurance NoCo Frozen Treats, LLC dba INSURER C 5242 Silverwood Drive Johnstown, CO 80534 INSURERD: 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 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 LTIR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR X CPA3124633-21 03/09/2017 03/09/2018 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED $ 100,000 MED EXP (Any oneperson) 51000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ jECOT ❑X LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)X $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO CPA3124633-21 03/09/2017 03/09/2018 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident PROPERTY DAMAGE Peraccident $ HIRED NON-pWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE CPA3124633-21 03/09/2017 03/09/2018 DED I X I RETENTION $ 0 $ _ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 4157352 07/01/2016 07/01/2017 E.L. EACH ACCIDENT 100,000 $ E.L. DISEASE - EA EMPLOYEE $ 100,000 If ye_ describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 500,000 $ ppES ��ppTION Q� �PE�2pTIOI�S I OCATIgNSlV NICL (ACORD101, AdQ'(ional Re arks Schedule, may ye attached if more space is required) C:e ITICate WorUIn Su� ect io F'o icy orms, C:onClMons, �eTlnitlons and Exclusions. Certificate Holder is an Additional Insured Regarding the General Liability. City of Fort Collins 215 N. Mason St., 2nd Floor Fort Collins, CO 80524 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