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HomeMy WebLinkAbout210503 HUSKY SIGNS AND GRAPHICS, INCCERTIFICATE OF LIABILITY INSURANCE F DATE (MM/DDIYYYY) 08/01/2022 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 Christine Simmons NAME: Foothills Insurance A//CC' Ext): (303) 469-1293 q/c, No : (303) 469-1362 7100 Broadway #5K E-MAIL christine@iscolorado.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Denver CO 80221 INSURERA: Ohio Security Ins Co 24082 INSURED INSURER B: The Ohio Casualty Ins Co 24074 INSURER C: Pinnacol 41190 Husky Signs & Graphics Inc 7340 Valmont Rd INSURER D: INSURER E: Boulder CO 80301 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 Master 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 7 OCCUR PREM SES Ea occurrDence $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL &ADV INJU RY $ 1,000,000 A BKS55697226 11/20/2021 11/20/2022 GEN' LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY ❑X JECT F—]LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Included Ea accident BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BKS55697226 11/20/2021 11/20/2022 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESS LIAB CLAIMS -MADE US055697226 11/20/2021 11/20/2022 AGGREGATE $ 1,000,000 DED I X1 RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4111167 02/01/2022 02/01/2023 �/ /� STATUTE EORH 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 L imit $194,000 A Business Property BKS55697226 11/20/2021 11/20/2022 Replacement Cost Deductible $1,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Wheat Ridge ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W 29th Avenue AUTHORIZED REPRESENTATIVE Wheat Ridge CO 80215 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD vvN 5 411gol- W O O 0 n 0 o y F�w c�..;�'•w � Olx " " =CDv I N � O 17d R H H Q. � Ya Q G vvN 5 411gol- W O O