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HomeMy WebLinkAboutGEMINI FIRE PROTECTION INC - INSURANCE CERTIFICATE (4)GEMIFIR-01 MARS ,4c'oRO CERTIFICATE OF LIABILITY INSURANCE FDATE (MM/DD YYYY) �� 07/31/2018 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 Shateen Martin NAME: Six & Geving Insurance, Inc. 225 Union Blvd. #575 (A coNro, E:e): (720) 962-0930 i FAX No):(720) 962-0942 Lakewood, CO 80228 ADDRESS; smartin@six-geving.com INSURED Gemini Fire Protection, Inc P.O. Box 202 Elizabeth, CO 80107 E: 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 LTRTYPE OF INSURANCE ADDL SUBR�I POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X 51GL007806-181 08/01/2018 08/01/2019 DAMAGE TORENTED 50,000 5,000 MED EXP (Any oneperson) PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY LOG GENERAL AGGREGATE 2,000,000 PRODUT3-COMP/OPAGG 2r000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT acGdsne __ 11000,000 X ANY AUTO Z25731 08/01/2018 08/01/2019 BODILY_ INJURY (Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BO�DILY INJURY (Per accident $ AUTOS ONLY AUTOSONLDY PPeOracEcCent AMAGE $ , _ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ _ $ _ EXCESS L64B I CLAIMLADE AGGREGATE $ DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AAQNEpYPROPRIETOR/PARTNER/EXECUTIVE YIN (Mandatory in NH) EXCLUDED? NIA 4059669 08/01/2018 OTH- ��XPTEATUTE. 08/01/2019 R 500,000 ,.E.L.EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ 500,000 If es des 0--d- I DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 500,000 $ A Professional Errors 51GL007806-181 08/01/2018 08/01/2019 Per Claim 1,000,000 B Equipment Floater 5731 08/01/2018 08/01/2019 Leased/Rented 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contractors License. City of Fort Collins is named as additional insured as respects General Liability if required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE �IQr�J1�� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD