HomeMy WebLinkAbout124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATEOP D
ACORD DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE TOPGU-1 11 03 06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone: 970-482-7747 Fax: 970-484-4165 INSURERS AFFORDING COVERAGE NAIC #
INSURED
50v 1 W 67th ssure Washing Inc.
St
Loveland CO 80538
COVERAGES
INSURER A: Plnnacol Assurance
INSURER B: AUTO OWNERS INS CO
INSURER C: Wellington Specialty Ins Co
INSURER D:
INSURER E:
18988
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
lNbK
LTR
%WU
INQ
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIDD
LIMITS
C
GENERAL LIABILITY
X COMMERCIALGENERAL LIABILITY
CLAIMS MADE FX-1 OCCUR
0500200179
10/31/06
10/31/07
EACH OCCURRENCE
$ 1 , 000 , 000
PREMISES (Ea occurence)$50,000
MED EXP (Any one person)
$ 1 , DUD
PERSONAL & ADV INJURY
$ 1, 000 , 000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT F7 LOC
PRODUCTS - COMP/OP AGG
s2,000,000
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
4657764800
10/31/06
10/31/07
COMBINED SINGLE LIMIT
(Ea accident)
$1 DDD OOO
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4031609
07/01/06
07/01/07
TORY LIMITS I I ER
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYE
$1000000
E.L. DISEASE -POLICY LIMIT
1 $1000000
B
OTHER
Contractors Equip.
74577648
10/31/06
10/31/07
Leased or $100,000
Rented $500
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Painting Exterior (Pressure Washing)RE: Bid #5827 Parking Structures Snow
Removal
CERTIFICATE HOLDER CANCELLATION
j TCpURC
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins
Purchasing Department
215 N Mason
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522
REPRESENTATIVES.
AtliMQRRED REPRESS
ACORD 25 (2001/08) VACORD CORPORATION 1988