HomeMy WebLinkAbout357372 MSI ENTERPRISES - INSURANCE CERTIFICATEDEC 06,2006 11:47A
A rnnn r+E—M-r1r10% A TC
03521843
DATEMMODIYYYY)
2
Insurance Centers of America
2055 Anglo Dr Ste 200
Colorado Springs, CO 8018
INSURED MSi ENTERPRISES, INC.
MATT IVERSON
1600 HARRIS DR
FORT COLLINS, CO 60524
MUCC
ONLY AND CI
HOLDER_ THIS
INSURERS AFFORDING COVERAGE NAICN
INSURERA ADCQ (jl,'L,[!�.'.j�.�_._. ..- ..
INsuRER B' SAFSCO INSURANCE -___�_ �.
INSURER C:
INsuRER n
vv�
THE POLICIES OF INSURANCE LISTED BELOW HAVE BFFN 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 DESCRIBEP HEREIN IS SUBJECT TO ALL IHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY NUMBER p lCY EFP� 1RAT OMITS
GENE.RAI. LIABILITY
EACH OCCURRENCE
t 11000,
$ COMMERCIAL GrNERALLWidfN
_
_
s 100 000
,
CLAIIMJMAOE OCCURMEDE%Pfw^/PTT1,
A
..
1409,90011,10
04/11/01
04/11/07
PER8ONALSADvNuRY
f 1 OQO,.O00.
GENERAL AGGREGATE
GENL AGGREO_A1'E LIM7 APPLIES PE
PRODUCTS - COMPIOP AGO
—
f 1� 000 , 000
3XI.. POLICY _ PR - LDC
AUTOMOBS.ELlABLTTY
COMBINED SINGLt LIMIT
S 1,000,000
O ANYAUT
{E9RCgtlK@)
f
ALLOWNEDAIITOS
WDILYINJURY
SCIIWULEDAUTOS
(Per PefACnV
g
HIREDAUTOS
25CCO8462520
07/30/06
07/30/07
BODILY INJURY
NON-OWNEDALITOS
(Pawilowe)
f
=
PROPERTY DAMAOS
.. ._
fPefIlCfJtlSnt)
GMUJ=UAMUTY
AUTO ONLY-EAACCWMT
S
ANYAUTO
OTHERTHAN ,EAAC4
S.,.
AUTOONLY: A=
S
EXCESSALnHH.I.A LIABILITY
EACH OCCURRENCE
S ..
OCCUR L_I CLAMSMADE
AGGREGATE
i
DEDUCTIBLE
-__
1
RETENTION f
f
WORKERS COMPENSATIONANU
i
TOHY.LP4IIB
rMPLOYERS'LIAVILIFY
...... .ER
E.L. EACH ACCIDENT ......f
ANY PRCPRIfTOROARrAMI MOUTNE
...._...... __._-._.. _...
CFFWTa MUR UCLL%E
E.L. 016EA15E - EA EMIK
i
B CBBcrkxHeMn
E PROVISIONS 6eXM
E.L. DISEASE - POLICY LIMIT
S
OTHER
1
_7
I DESCRIPTION OF OPERAI(CM4 LOCATIONS WIFMCLES I EXCWSOONSAOCED BYENDORSEMENT I SPECIAL PROVISIONS
1
1
ADDITIONAL INSURED
CITY OF IFT COLLINS
ATTN: PURCHASING DEPARTMMT
PO SOX 56O
FT COLLINS, Co 80522
FA$: 970-221-6707
ISDDimei
SHOULD ANY OF THE ABOVE DESCRIBED POOGIES BE CANCELLED BEFORE THE EXPIRATIO1
DATE THEREOF, THE 15SURiG INSURER WILL fNnFAVM f 0 MAIL10 DAYS WRITTEN
NUfIT,E TO THE CERTIFICATE HOLDER NAMED TO THE EFT, WIT FAILURE TO DO SO SHAL
IMPOSE NO OBI IOATK)N OR LIABILITY OF ANY KON THE INSURFN, ITS AGENTS OF
DEC 06,2006 11.47A 9703521843
page 1
Security Insurance Group, LLC
1024 9" Ave Ste D
Greeley, CO 80631
970.352.1837 Office
970.352.1843 Fax
Fax
Date: 1 z f (/