HomeMy WebLinkAboutVOGEL - INSURANCE CERTIFICATEFEB. 6.2007- 4:12PNr�COLORA00-BW INSURANCE 9702672231 N0.12
ACC, t.EK i WICA i t ur uHM«1 I r mzuRANCE
PRODUCER (970)2Z3-0924 FAX (9
Colorado BW Insurance Agency, Inc.
1075 W Horsetooth Rd, ste 106
Fort Collins, CO 80526
DBA: Vogel Concrete
6330 Sr College Ave.
Fort Collins, CO 80525
COVERAGES
THIS CERTIFICATE IS ISSUED AS A MAT
ONLY AND CONFERS NO RIGHTS UPON
HOLDER. THIS CERTIFICATE DOES NOT
INSURERS AFFORDING COVERAGE
INSURERA: Auto Owners Insuranc
INSURER 01
INSURER E
1 (aIMIDwYYrn
NAIC 0
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 CLAIM$.
INSR
kwi
amLILW
TYPE OF INSURANCE
POLICY NUMBER
PO EFFECTIVE
OV17/2007
ID(MRATION
POJjL
OV171200
LIMITS
A
GENERALUAWLrrt
X OOMMEROkL GENERAL LIABILITY
CLAM MADE � OCCUR
TBD
EADH ocCoRRENer
S 1,000,000,
DAMAG TO RENTED
a 300.000
MED PJ(P wj pre Comm)
II $ ,
PERSONAL 8 AOV INJURY
S 2.000.00
GENERAL AGGREGATE
a 2,000,00(
GEN'LAGGREGATE L�IIM�IITAPPLIE8PER
POLICY JE'CT LOC
PRODUCTS -COMP/DPAGO
S 2,000,00(
A
AUTOMOBILE
LIABILITY
ARYAUTO
-ALL OWNED AUTOS
SCHEDULEDAUTOS
HIREDAUTOS
NON -OWNED AUTOS
TBD
01/17/2007
01 17/2008
COMBINED SINGLE LIMIT
(EaadddenO
a
1,000,00(
X
BODILY INJURY
(Perperaen)
S
X
X
BODILY INJURY
(Pera<ddwlo
a
PROPERTY DAMAGE
(Peredddeng
a
GARAGELWBILRY
ARYAUTO
AUTO ONLY• Fk ACCIDENT
a
OTHER THAN EA ACC
AUTOONLY. AGG
S
S
EXCESSIUNI ELLA LIABILITY
OCCUR F1 CLAMS WADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
S
AGGREGATE
S
a
a
S
W010MRS COMPENSATION AND
EMPLIS' LIABILITY
ANYPROPTOM7CTHE
ELUDED?
N'W und,r
S M7OAS1)N8Below
WC STATU-97H•
E.L. EACH ACCIDENT
aOFICERAMBE
E.L. DISEASE • IA EMPLOYEE
a
El- DISEASE - POLICYLPAIT
a
OTHER
OESORIPnON OF OPERATIONS I LOCATIONS I MICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECUJ. PROVI8IONS
City of Fort Collins
Accounting Department
attn: John Stephen
PO Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE pESCRIBCD POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL WPOW No OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER. ITS ACFRTB OR RFZIRFSEMTATII=A
ACORD 26 (2007/08) FAX-, 2
CORPORATION i888
FEB, 6.2007 4.12PM COIORADO-BW INSURANCE 9702672231 N0,125--Q•
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 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 after the coverage afforded by the policies listed thereon.
ACORD 25 (2001108)