HomeMy WebLinkAbout117101 VISION GRAPHICS INC - INSURANCE CERTIFICATE (2)BACI
ACORD. CERTIFICATE OF LIABILITY INSURANCE U048 12-12-2006
PRODUCER THIS CERTIFICATE IS ISSUED AS'A MATTER OF INFORMATION
AUTOMATIC DATA PROCESSING INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
250717 P: ( 877) 287-1316 F: ( 877) 287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
308 FARMINGTON AVE
FARMINGTON CT 06032
WSU RED
B:
DUNCAN BUSINESS SERVICES, INC.
169 S. MADISON AVE.
CUVtHAGES
INSURERS AFFORDING COVERAGE
Ins Co
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.
IYSR
TYPE OF IAISURANCE
POLICY AdMBER
POLCYEFTECTIVE
POLICY EXPIRATION
LMNS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
COMMERCIAL GENERAL LIABILITY
MED EXP (Arty one Person)
$
CLAIMS MADE O OCCUR
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEWL AGGREGATE
POLICY
LIMIT APPLIES
PRO
JECT
PER:
LOC
PRODUCTS - COMPIOP AGO
$
AUTOMONRE
UABANY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per Persm)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
-
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS "ABILITY
EACH OCCURRENCE
S
AGGREGATE
$
OCCURr—i CLAIMS MADE
S
$
DEDUCTIBLE
S
RETENTION $
WORXERS COMPENSA TION AAO
x WCSTATU- OTH-
LIMITS EB
A
EMPLOYEJTSLwBILIry
76 WEG NT4280
01/06/06
01/06./07
E.L. EACH ACCIDENT
$100 000
E.L. DISEASE - EA EMPLOYEE
$1 0 O O O O
E.L. DISEASE -POLICY LIMIT
$500OOO
OTHER
DESCRIPTION OF OPERATIONSAOCATIONSVELICLES(EXCLUMONS ADDED BY EADORSEMENTISPECAL PROVISIONS
Those usual to the Insured's Operations.
CFRTIFICATFHni nFO1 1 .,...,T..............M„_e..,.•,.�..._._..__ ,...... �. , ._-..-...
City of Fort Collins
Attn: David Carey
PO Box 580
Ft. Collins, CO 80522
DULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'[RATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
-IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
'RESENTATIVES.
"' -- -- ®ACORD CORPORATION 1988
CERTIFICATE OF INSURANCE
Thi t ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
Keo
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
am ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
❑ STATE FARM LLOYDS, Dallas, Texas
insurwing policyholder for the coverages indicated below:
Name of policyholder Vicki & James Duncan
Address of policyholder 169 S. Madison Avenue, Loveland, CO 80537-6500
Location of operations
Description of operations Mailing Services
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and conditions of those policies. The limits of liabilitv shown may have been reduced by anv paid claims_
POLICY PERIOD
LIMITS OF LIABILITY
POLICY NUMBER
TYPE OF INSURANCE
Effective Date ; Expiration Date
(at beginning of policy period)
Comprehensive
BODILY INJURY AND
---------------------
- - - -- ---
Business Liability
- ----------------
PROPERTY DAMAGE
This insurance includes:
® Products - Completed Operations
® Contractual Liability
® Underground Hazard Coverage
Each Occurrence $
® Personal Injury
® Advertising Injury
General Aggregate $
❑ Explosion Hazard Coverage
❑ Collapse Hazard Coverage
Products — Completed $
❑
Operations Aggregate
El
POLICY PERIOD
BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY
Effective Date Expiration Date
(Combined Single Limit)
❑ Umbrella
Each Occurrence $
❑ Other
Aggregate $
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
and Employers Liability
Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
Effective Date Expiration Date
LIMITS OF LIABILITY
(at beginning of policy period)
106-8691-Bll-06
1999 ISUZU NPR B
8/11/06 2/11/07
500,000 SINGLE LIMIT
344-2454-B31-06K
1997 FORD F150
8/31/06 2/28/07
500,000 SINGLE LIMT
yr inaummNur Ia NOT A wry I KAG I Ut- INSUKANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
If any of the described policies are canceled before
its expiration date, State Farm will try to mail a written
notice to the certificate holder 30 days before
Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice,
no obligation or liability will be imposed on State
ADDITIONAL INSURED: Farm or its agents or representa ' es.
CITY OF FORT COLLINS
ATTN: DAMN CAREY - BUYER S ature of Authorized Representative
215 N. MASON STREET CK SNNAHARA-AGENT 12/12/O6
PO BOX Title Date
FORT COLLINS,I CO 80522-0580 Agent's Code Stamp
558-994 a.3 04-1999 Printed in U.S.A.
MILE HIGH
AFO C§g,Naz6HARA 06-1529
JSOUTHF�,S' Y.:EILVER F631