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Home My WebLink AboutTHE CAKERY LLC - INSURANCE CERTIFICATE (2)1 ® ACORO CERTIFICATE OF LIABILITY INSURANCE `�.1 DATE (MMIDD/YYYY) 07/24/2018 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 endorsements . PRODUCER Western Insurance Solutions Inc 4740 Flintridge Drive, Suite 115 Colorado Springs, CO 80918 CONT EAC A.EACT Elizabeth A Kennedy _NA. PWC,HONNo.E Ext): (719) 594-6883 AIC No : (719) 532-9996 E-MAIL beth@wisins.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: OHIO SECURITY INSURANCE COMPANY 24082 INSURED The Cakery, LLC 3357 Mammoth Cir Wellington CO 80549 INSURER B : INSURER C : INSURER D : INSURER E : 1 INSURERF: t..UVCRf±VCJ -A.a 1-......... 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 300000 , $ _. f� CLAIMS -MADE u OCCUR MED EXP (Any one person) $ 15,000 A Y BKS58059292 08/08/2018 08/08/2019 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X❑ PRO ❑ LOC POLICY JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED AUTOS ONLY AUTOS XHIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY Y BKS58059292 08/08/2018 08/08/2019 PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE NONE DED I I RETENTION $ WORKERS COMPENSATION PER OTH- STATUTE ER $ E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A NONE E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below N/A NONE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, it's directors, managers, sponsors, agents, and employees are additional insured regarding General & Auto Liability if required in a written contract. GERTIFIGA I t HULUtK 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 AUTHORIZED REPRESENTATIVE 215 N Mason St Fort Collins CO 80524 \J I VOO-GV I J Mliv rev vvr�. v.�i"...v.�. r... .7. ...........-.....• ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD