HomeMy WebLinkAboutJ D ENTERPRISES - INSURANCE CERTIFICATE................... ...........
... ........ .............. .....
DATE(MMIDONY)
.AC0RD
. ........
XX. 01/18/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CROSSROADS INSURANCE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. BOX 1010
COMPANIES AFFORDING COVERAGE
AULT, CO 80610
(970) 834-1337 FAX: 834-1393
COMPANY
A COLORADO CASUALTY INSURANCE COMPANY
INSURED
COMPANY
J D ENTERPRISES, INC.
B PINNACOL ASSURANCE
9535 EASTMAN PARK DRIVE
COMPANY
WINDSOR, CO 80550
C
COMPANY
D
,FAX: (970) 686-2363
C V 90 M,
2. .........
THIS IS TO CERTIFY THAT 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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD[YYI
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
112, 000, 000
PRODUCTS - COMP/OP AGG
s2, 000, 000-
COMMERCIAL GENERAL LIABILITY
-1 CLAIMS MADE FxI OCCUR
-
PERSONAL & ADV INJURY
$1 , 000, 000.
EACH OCCURRENCE
$1 , 000, 000
A
OWNER'S & CONTRACTOR'S PROT
CPP-0562337-02
01/01/06
01/01/07
CPP—,05,62337-03
01/01/07
01/01/08
FIRE DAMAGE (Any one fire)
$ 100, 000
MED EXP (Any one person)
$ 5, 000
AUTOMOBILE
LIABILITY
ANY AUTO ANY
SINGLE LIMIT
S1 000, 000
BODILY INJURY
(Per person)
ALL OWNED AUTOS,
SCHEDULED AUTOS
X
A
HIRED AUTOS
NON -OWNED AUTOS
CPP-0562337-02
CPP-0562337-03
01/01/06
01/01/07
01/01/07
01/01/08
BODILY INJURY
(Per accident)
x
I
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
N/A
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
N/A
EACH OCCURRENCE
AGGREGATE
I OTHER THAN UMBRELLA FORM
11,
WORKERS COMPENSATION AND
TIVC STATU H-
T
CRY LIM T� I X 10ER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
$1,000, 000
B
THE PROPRIETOR/
INCL
4088916
01/01/06
01/01/07
ELDISEASF- POLICY LIMIT
$1,000, 000
PARTNERS/EXECUTIVE
OFFICERS ARE:
X
EXCL
4088916
01/01/07
01/01/08
EL DISEASE - EA EMPLOYEE
$1, 000, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS
EXCAVATION & SNOW REMOVAL
CITY OF FORT COLLINS
DEPARTMENT OF FINANCE
P.O. BOX 440
FORT COLLINS, CO 80522-0440,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
E PIRAT'O TE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
0 WRITTEN NOTIC TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT LURE To MAIL U SHALL IMPOSE NO OBLIGATION OR LIABILITY
ANY K 0 UPON C PANY. ITS AGErTS-101A