HomeMy WebLinkAboutVOGEL CONCRETE - INSURANCE CERTIFICATEFEB 4.YUUI 4:1'1f'N-`—UULUKAUU-bW INJUKANUt V19101MI NU. 117
ACLj& � t Ek i irICA i c ter LIAMILI I Y umbuRANCE
Y. INlrolyYlrrn
1 QV9612007
PROWCUR (970)223-0924 FAX (970) 267-2231
Colorado BW Insurance Agency, Inc.
1075 W Horsetooth Rd, Ste 106
Fort Collins, CO 80526
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
NA1C #
msuRED VGL, Inc.
DBA: Vogel Concrete
6330 S. College Ave.
Fort Collins, CO 80525
INSURERA: Auto Owners Insurance
18988
INSURER B:
INSURERC!
INSURERD:
INSURER E:
r_nvFRrec.F-Q
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDBJG
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.
INER
DO' NEWTYPE
OF INSURANCE
POLXIYNUMBER
EFFECTIVE
POLICY EXPIRATION
UNITS
A
GENERAL LIAINUTY
X COMMERCIAL GENERALLMaILITY
CLAIMS MADE [fl OCCUR
TBD
01/17/2007
01/17/2001
EACH OCCURRENCE
1 1,000,000,
DAMAO
S 3009
NED EXP wq gm person)
S S1000
PERSONAL&AOVINJURY
a 1,000 o0
GENERAL AGGREGATE
S 2.000
GEN'LAGGREGATE LIMMAPPLIE8PER!
rl POLICY F LOC
PRODUCTS-COMPIDPAGG
1 2,000QQ
A
AUTOMOBILE
LNBILJTY
ANYAUTO
ALL OAMED AUTOS -
SCHEDULED AUTO$
HIREDAUTOS
NON OVMED AUTOS
TBD
01/17/2007
01/17/2009
COMBINED SINGLE LIMB
(EAMddanO
S
1 D00,
X
PODILYINJURY
(Per person)
1
X
X
BODILY INJURY
(Per sedd"
1
PROPERTY DAMAGE
(Per spew"
S
GARAGE LIABILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT
S
OTHER TITAN EAACC
AUTO ONLY. AGO
I
1
EXCESSAWRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
is
AGGREGATE
I
1
S
1
NMRKERSCOMPENSATIONAND
EMPLOYERS' LIABILITY
ANY OF IOROEOPRIEEERPARTUDEEWCECUTwE
H doaabaunder
SPECIAL PROAMON8 below
WOSTATU- OTH.
EL. EACH ACCIDENT
6
�L.DISEASE - EA EMPLOYEE
I
E.L. DISEASE - POLICY LIMrT
13
OTHER
DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
City of Fort Collins
Accounting Department
attn: John Stephen
PO Box S80
Fort Collins, CO BOS22-OS80
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL4EO BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO NAIL
10 OAYS WRITTBN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FaLURE TO MAL SUCH NOTICE SHALL IMPOSE No OBUGATIONOR UABIUTY
OF ANY IOND-UPON THE INSURER. ITS AGEORSOR REIRES6NTArnma.
ACORD 26 (2001/OB) FAX: 221-6707
CORPORATION 1988
FEB. 6.2001 4:12PM COLDRADO-BW INSURANCE 9702672231 NO.125---P.
IMPORTANT
If the Certificate holder is an ADDITIONAL INSURED, the poiicy(es) must be endorsed, A statement
on this certificate does not Confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain 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 does not constitute a contract between
The issuing insurer(s), 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.
ACORD 25 (2001106)