HomeMy WebLinkAboutAMANDO GARCIA DIAZ AM CONSTRUCTION - INSURANCE CERTIFICATEAFFORDABLE AMERICAN Fax;303-255-1466
Oct 2 2006 01;40pm P002/002
ACQRDm CERTIFICATE OF LIABILITY INSURANCE
PRODO� Phone; 90349"700
AAI - Tony Fernandez InrumnCe Agency, LLC
THIS CERTIFICATE IS ISSUE
ONLY AND CONFERS NO
2090 E.104th, Ste 300
HOLDER. THIB
Thomton, CO 8023$
ALTER THECOVERAGE
License A; RPAIS5013
INSURERS AFFORDING COV.EF
EsuRED
Amando Garcia Diaz
INDURERA, Atlantl G C ua ft
DBA: AM Constructlon
INSURER B.
3209 Crazy Horse
INSURER at
Wellington, CO 80549
DIsuRER D:
THE POLICIES OF INSURAN
ANY REOUIREL%NT. TERM
BEEN IBBUED TO THE
CONTRACT OR OTHE
POLICIES DESCRIBED
EEN RED UCED BY PAI
,i.,ANUTY I L093001
MERCIAL OEPII UAEL"
CWMSMODE OCCUR
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED Au=
AGE LIABILITY
ANY AUTO
„J OCCUR CLAIMS MADE
DEDUCTIBLE .
RETENTION S
WORKERS COMPENDATIDN ANO
Wu%DYEIW NAB6RY .
ANYPRCPWETORIPARTNERIMMUTNE
OPFIOTFA�A9ER EN:LUDEW
trndw
MankLmm—
OTHER
VEIELDD I EKCWDIDNS AODgL
City of Ft Collins
281 N College Ave
PO Box 680
970.224.5131
Fort Collins, CO 80522
IJIJRCL7 NAMED ABOVE FOR THE P
DOCUMENT WITH RESPECT TO I
EREIN 18 SUBJECT TO ALL THE TE
CLAIMS.
FWMI FFUQTIyfi FOLC R)RRATw
05126/4006 105126I2007
DATE IMMMWrnY)
NAIC B
XICY PERIOD INDICATED. NOTWITHSTANDING
MICH THIS CERTIFICATE
MAY BE ISSUED OR
:MS, EXCLUSIONS AND CONDITIONS OF SUCH
1
uDPTs
EACH COCUPJRD"
s 7 O�,QgO
RERrE
D 000
MED R fft aN py=)
S 9 0 0
PERSONAL A ADV INJURY
S -ka-00 .
GBNERALAGGREGATE
9 2 0 00.
PROOums.COMPffiFAGG
S ,Q000. QQ "
(MBIFa ISINLTI.E UIM
S
ODDLY INJURY
SHOD
(Pn' LYE RY
$ .
(peter Paakant) "'A"I"'
S
AUTO ONLY. EA ACCIDENT
S
OTHER THAN EA ACC
S '
AUTOOE.Y: A0o
EACH OCCURRMNCE
S
AGGRFJ3ATE
9
S
S
S
WC BTATU
DRY_LIM
AL EACH ACCIDENT
S
LLDIDEASE-EA MPLO
_
S
EIDISEADE-PWICYLIMR 9
SHOULD ANY OF THIS AMWA DOOMED PoWea EH CANCFALDD OVORE TIE! WWWATION
DATE THEREOF, THE WARE INSURER WLL ENDEAVOR TO NAL 30 DAYS WRITTEN
NOTICE TO THE CMMFICATD HOLM NAMED TD TIE LEY, BUT PAWRE TO DO SO SHALL
MO�OE! NO ORLMATION OR LIIIBLITY OF IE ANY WAD UPON TpImEo R,' RS AoEN." OR
PdnWd by 2150 o6kftber 02, 2008 at 01;30PM