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HomeMy WebLinkAboutASPEN ENTERPRISES OF NORTHERN COLORADO - INSURANCE CERTIFICATEASPEN-4 OP ID: DA . 4c"mi CERTIFICATE OF LIABILITY INSURANCE E (MM/DD/YYYY) 7OT6116/2017 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 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account CONTACT NAME: House Account PHONE 970-482-7747 a/�C, No): 970-484-4165 A/c No E>R E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: United Fire 8r Casualty Co. 13021 INSURED Aspen Enterprises of Northern INSURER B : Plnnacol Assurance Company 41190 Colorado, Inc. 504 Mail Creek Ct INSURER C:Old Republic Surety Company 40444 Ft Collins, CO 80525 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. IPOLICY EFF POLICY EXP NSR TYPE OF INSURANCE INSD S VD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS I N WVD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE T OCCUR X 60448507 07/01/2017 07/01/2018 DAMAGE TO RENTED PREMISES Ea occurrence 100 00 $ r MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY 7 PRO JECT ❑ LOC PRODUCTS - COMPIOPAGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 ,000,0O BODILY INJURY (Per person) A ANY AUTO X 60448507 07/01/2017 07/01/2018 $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE peraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE INOT COVERED DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 4038548 07/01/2017 07/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 OFFICER/MEMBEREXCLUDED> ❑ (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ SOO,OO E.L. DISEASE - POLICY LIMIT $ 500,00 If yes, describe under DESCRIPTION OF OPERA -PIONS below I C Crime W150196966 07/01/2017 07/01/2018 Crime 10,00 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE:102 Remington St, Fort Collins, CO - City of Fort Collins is included as Additional Insured with respects to General Liability and Autombile. FTCPURC City of Fort Collins Purchasing Department 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ASPEN-4 NOTEPAD INSURER'S NAME Aspen Enterprises of Northern OP ID: DA PAGE 2 Date 06/16/2017 Required by written contract the following applies: ral Liability - CG7151 0215 tomatic Additional Insured - Owners, Lessees or Contractors tomatic Additional Insured - Vendors tomatic Additional Insured - Lessor of Leased Equipment tomatic Additional Insured - Managers or Lessors of Premises tomatic Additional Insured - Employee Injury to another employee r Project Aggregate r Location Aggregate ASPEN-4 OP ID: DA ACORO' r ATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/16/2017 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 CONTACT NAME: House Account Brown & Brown Inc PHONE FAX 4532 Boardwalk Dr, Suite 200 A/C No Ext :970-482-7747 a/c No : 970-484-4165 Fort Collins, CO 80525 E-MAIL House Account ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises of Northern INSURER B : Pinnacol Assurance Company 41190 Colorado, Inc. INSURER C:Old Republic Surety Company 40444 504 Mail Creek Ct Ft Collins, CO 80525 INSURERD: INSURER E : INSURER F : 1^_r)VFRARFq CFRTIFIrATF NI IMRFR• RFVISInN NIIMRFR- 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 INSURANCE 'ADDL N SUBR WVD 1 POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE Al OCCUR X 60448507 07/01/2017 07/01/2018 DAMA ETORENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY ] PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER: li AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1000,000 BODILY INJURY (Per person) $ A ANY AUTO X 60448507 07/01/2017 07/01/2018 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE NOT COVERED $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE � 4038548 07/01/2017 07/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below C Crime W150196966 07/01/2017 07/01/2018 Crime 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Buildings A&B, 3400 W. Vine, Fort Collins, CO - City of Fort Collins is included as Additional Insured with respects to General Liability and Autombile. flCMTICIf'ATC LIAI MCM rAkl!`CI I ATIt%K1 FTCPURC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ASPEN-4 PAGE 2 NOTEPAD INSURED'S NAME Aspen Enterprises of Northern OP ID: DA Date 06/16/2017 Required by written contract the following applies: neral Liability - CG7151 0215 tomatic Additional Insured - Owners, Lessees or Contractors tomatic Additional Insured - Vendors tomatic Additional Insured - Lessor of Leased Equipment tomatic Additional Insured - Managers or Lessors of Premises tomatic Additional Insured - Employee Injury to another employee r Project Aggregate r Location Aggregate