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Home My WebLink About265716 WINDOW KING - INSURANCE CERTIFICATE10/31/2006 01:44PM Pinnacol Assurance PAGE 2 OF 3 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOOIYYY 10/31/2005 PRODUCER Pinnacol Assurance 7501 E Lowry Blvd DENVER CO 80230-7006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED WINDOW KING 111 INC 1383 WARBLER ST LOVELAND CO 80537 INSURER A: Pinnacol Assurance 41190 INSURER B: NSURER C. INSURER M INSURER E: COVERAGES 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADVL INSRO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATEIM M,""YYI POLICY EXRRATION DATEIM MgO/YYYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMSMADE OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES (E. pccunwetl N ED EXP IAnY en. p.rt.nl PERSONAL E AOV INJURY GEN'L AGGREGATE UMIT APFuERS FER: POLICY PROJECT LOC GENERAL AGGREGATE PRODUCTS-COMPMPAGG ANTOMOMLELA RY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOW NED AUTOS COMBINED ANGLELIMIT IE..ccid�tl BODILY INJURY IPr...... ) BODILY INJURY IF., •wdw0 PROPERTY DAMAGE IPr .nsidmd GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EXCEE6NMMIEILALIABILRY OCCUR CLAMSMADE DEDUCTIBLE RETENTION 4 EACH OCCURRENCE AGGREGATE A MRS ER6 COMPENSATION AND EMPLOTERE LIABILITY ANY PROPRIETORmARrNERRXECUTNE OFFICEMMEMBER EXCLUDED! If Y.., W... dmib. und.r SPECIAL PROVISIONS 1,W. 4092978 0610112006 06/0112007 X WC STATUS OTHER TORY UMITS E.L.EACNAcooExT 3100,000 E.L. DISEASE-EAEMFLOYEE SIDO,000 E.L. DISEASE - POLICY UNIT $600,000 OTHER 0116CTBPTION OF OPERATIONS /LOCATIONS 1 VEHICILI /EXCLUSIONSADDED BY ENDORSEMENT! SPECIAL PROVISIONS SEE RACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL CERTIFICATE HOLDER CANCELLATION 947433 CITY OF FORT COLLINS 215 NORTH MASON STREET FORT COLLINS CO 80522 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIV AUTHORIZED REPRESENTATIVE Jeff Bunn Underwriter ACORD CORPORATION ISM ARCTSASNCSRSupppn IDAIAS01:44:03 4092970 Upd.ud: 121151199912:00:00 UWIA 10/31/2006 01:44PM Pinnacol Assurance POLICY HOLDER COPY PAGE 3 OF 3 Window King 111 Inc 1383 WARBLER ST LOVELAND CO 80537 POLICY NUMBER: 4092978 BUSINESS LOCATION: WINDOW KING 111 INC CLASSIFICATION OF OPERATION CLASS DESCRIPTION IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certian policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form dam not constitute a contract between the issuing insureds), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 901405BUILDINGS-MAINTENANCE OPERATIONS BY CONTRACTOR COVERAGE COVERAGE RATI EFFECTIVE EXPIRES TYPE 06/01 /2006 06/01 /2007 EM ACORD,,, CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDDIYYYY) PRODUCER SCA Insurance - Pueblo 1414 West 4th Street Pueblo CO 81003 (719) 544-2533 INSURED Window Ring III 2383 Warbler Street Loveland CO 80537 COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF ONLY AND CONFERS NO RIGHTS UPON THE HOLDER. THIS CERTIFICATE DOES NOT AMEN[ INSURERS AFFORDING COVERAGE INSURERA: United Fire E. Caaualty INSURER C: EXTEND OR NAIC # 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. INSR ADVIL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVEDATE(MWDDIYYI P.L31L OLICY EXPIRATIONtEACHOCCURRENCE LIMITS GENERAL LIABILITY S 0 0MAGE TO RENTED o S 100,000 A X COMMERCIAL GENERAL LIABILITY 60327018 8/27/2006 8/27/2007 y one person) S 5,000 CLAIMS MADE X� OCCUR ADV INJURY S 11000,000 GREGATE $ 2,000,000 DEVIL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- LOC Blanket Additional lnsux AUTOMOBILE LIABILITY ANY AUTO COMBINED (Ea accident) SINGLE LIMIT $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY ALTO S AUTO ONLY: AGG EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE S $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNEWEXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? N yes, ALPROVISIONS below describe under SPECIAL PR E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City 01 Fort Collins 215 N. Nation Street Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN 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 REPRESENTATIVE / V.l1-L4 25 (2001108)