HomeMy WebLinkAboutWATER WORKS - INSURANCE CERTIFICATE•
Insurance a Financial services
® COUNTRY Mutual Insurance Company
❑ COUNTRY Casualty Insurance Company
P.O. Box 2100, Bloomington, IL 61702-2100
CERTIFICATE HOLDER
City of Fort Collins
281 N. College Ave
PO Box 580
Fort Collins, CO 80522-0580
CERTIFICATE OF INSURANCE
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Billing Number
0329521
ffective Date
07/19/2006
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Insurance Office/Agent No.
5009/14211
Agent Larry Cain
Agent Phone 970-221-9655
INSURED'S NAME AND ADDRESS
Water Works Inc
c/o Ron & Jennifer Henrickson
PO Box 271128
Fort Collins, CO 80527-1128
The policies listed below have been issued to this named insured. Limits shown are the policy limits in effect at the date of
this certificate. Claims paid anytime during the policy period may reduce some of these limits. This certificate is for information
only and dnps not amend alter nr prtpnd nnv envprana nrnvieiarl by nnliciac liciari
TYPE OF INSURANCE
POLICY NUMBER
POLICY EXPIRATION
LIMITS
DATE
GENERAL LIABILITY
® Commercial General Liability
AM6329650
07/19/2007
General Aggregate
$ 2,000,000
❑ Claims Made
Products Comp/Ops Aggregate
$ 2,000,000
❑ Occurrence
Personal 8 Advertising Injury
$ 1,000,000
❑ Owners &Contractors
Each Occurrence
$ 1,000,000
Protective
Fire Damage (Any One Fire)
$ 50,000
❑ Businessowners
Each Occurrence
$ 1,000,000
Medical Expense (Any One Person)
$ 5,000
AUTOMOBILE LIABILITY
Combined Single Limit
❑ Any Auto
Bodily Injury (Per Person)
$
® All Owned Autos
Bodily Injury (Per Accident)
$
❑ Scheduled Autos
Property Damage
$
❑ Hired Autos
❑ Non -Owned Autos
Combined Single Limit
$
Bodily Injury (Per Person)
$
GARAGE LIABILITY
Bodily Injury (Per Accident)
$
Property Damage
$
Garage Operations Aggregate
$
EXCESS LIABILITY
EACH OCCURRENCE
AGGREGATE
El Commercial Umbrella
$
ElOther Than Umbrella
$
STATUTORY
WORKERS' COMPENSATION
$ (Each Accident)
AND EMPLOYERS LIABILITY
$ (Disease -Each Employee)
$ (Disease -Policy Limit)
OTHER
DESCRIPTIONS OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
onUuiu airy Ui nIe auuve ue5u11Jeu puncles De canceleu Derore the expiration sate inereOT, the Issuing company will
endeavor to mail days written notice to the certificate holder named, but failure to mail such notice shall impose
no obligation or liability of any kind upon the Company, its agencies or representatives.
Issued at: Fart Collins 09/20/2006
91600a (01-03l01/04) DATE YdTHORIZED REPRESENTATIVE