HomeMy WebLinkAboutKYTO INC MOBILITY AND MORE - INSURANCE CERTIFICATE 2022-2023,�� cusroMe��uMseR:00067559D1
AIC�RO�' CERTIFICATE OF LIABILITY INSURANCE DATE�MMl��NYYY)
�� 05 02 2423
TH�S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER5 Nd RIGHTS UPON THE CERTIFICATE HO�DER. THIS
CERTIFICATE DOES NQT AFFIRMATIVELY OR NEGATIVELY AMEND, �XTEND OR ALTER THE COVERAGE AFFORDE� BY THE POLICIES
BELpW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 1'HE ISSUING I�ISURER(S), Al1THORI�ED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICA7� HOLD�R.
IMPORTANT: !f the certificate holder is an ADDITIQNAL INSl1RED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATtON IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this oertificate does not confer rights to the certificate holder in Ifeu of such endarsement{s).
PRODUCER
PHARMACISTS MUTUAL INSURANCE COMPANY
808 HIGHWAY 1$ W
PO BOX 370
ALGONA IA 50511-0370
INSUREU
KYTO INC
MOBILITY AN� MORE
493 DENVER AVE
LOVELAND CO $0537-5129
CERT HOLDER/ADp1710NAL INSR'D
COVERAGES CERTIFICATE NUMBER: REVlSION NUNkBER:
THIS IS TO CERTIFY THAT TFiE POLICIES OF INSURANCE LI57ED BELOW HAVE BEEM ISSUE� Tp TkE INSURED NAMEb ABOVE FOi� THE POLICY PERIOp
INDICATED. iVpTWITNS7ANDING ANY RE4UIREMENT, TERM OR CONDITION dF ANY CONTRACT OR OTHER DOCUMEIVT WI7H RESPECT TO WHICH TFiIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IIVSURANCE AFFORQED BY 'fHE POLICIE$ DESCRIBED HEREIN i5 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDI710N5 OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAkD CLAIMS.
INSR ADD SU6 pOLICY EFF POLICY EXP
L7R T1(P� OF INSURANCE INSD WVD POLICY NUMBER MMlD� MMlDD LlMITS
A X COMMERCIAL GENERAL LIABILITY Y N BOP Oa89544 16 fl7�01�2022 67/01/2023 EACH OCCURRENCE g Z,�O�,D�fl
DAMAGE TO RENTED
CLAIMS-MRDE X OCCUR PREMISES Ea ocarrence S ZSO,OOO
Health Care ProfessionaE MED EXP �An one person $ $,�a0
Liability PERSOIJAL & A�V INJURY $ Included
GEN'L AGGREGATE LIMIT APPLIES PHR: GENERAL AGGREGATE $ � OOO ODO
X POLICY �E a LOC PRODUCTS - COMPlOP AGG $ �,OOO,OOO
OTHER WATER LEGAL LIABILIN S SO,OOO
AUTOMOBILE LIABILITY GA aBINED�SINGLE LIMIT $
�t oad
ANY AUTO BO�ILY IN,lURY (Per perspn} $
OWNEp SCHEDI1LEb BODILY INJURY (Per eccidenl �
AUTOS ONLY AUZOS
HIRED NON�OWNED PROPERTYDAMAGE $
AUTOS ONLY AUTOS ONI,Y Per acadent
$
A X UMBRELLA LIAB X OCCUR UCL a089544 16 Q]��Z�ZQZZ 07/01/2023 EACH OCCURRENCE 5 1�00��0�0
EXCE55 LIAB CLAIMS-MADE AGGREGATE � 1,OQO,OOQ
DED X RETENTION $ 10,000 $
WORKERS COMPENSATION AND S7ATUTE E�RH
EMPLOYERS' LIABILITY YM
ANYPROPRIETOR7PAR�NERIEXECUTIVE ❑ N1A �-i. EACH ACCIDENZ S
OFFICERlMEMBER EXGLUDEQ?
(Mandalary In NH) E.L. DISEASE-EA EMPLOYE S
ifye s, desaibe under
DESGRIPTIONS OF DPERATIONS befow E.L. DISEASE - POLICY LIMIT �
dESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES {ACORU 101, Addltlonal Remarks Schedula, may qe attached iT more space is requlrad}
Loc. 001 MOBILITY AND MORE
Bldg. �Oi 493 DENVER AVE
LOVELAND, CO 80537-5129
'�f..
,���r
CITY OF FORT COLLINS
PO BOX 580
FORT COLLIfVS CO Sp522
INSURER A
INSURER B:
E�
SHDULU ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NDTICE WILi BE DELIVEREp IN
ACCORUANCE WITH THE POLICY PROYIS�ONS.
AUTHORIZEO REPR�SEMTATIVE
GAEl.7. WOLFE, CISR, API
[A o9ao0 OOD02 � 1988-2015 ACQRD CORPORATIdN. All rights reserved.
ACORD 25 {2016103) The ACORD name and logo are registered marks of ACOiiD