HomeMy WebLinkAbout4 K PAINTING AND DRYWALL - INSURANCE CERTIFICATEIsar-30-07 07:40am From-Brown0rown
9T04844165 T-526 P.001/001 F-058
ACOW CERTIFICATE OF LIABILITY INSURANCE oP I°
4RPA1-1
DATE(' °°'""Y'
D3 29 07
PRODUCER
Brown A Brown Inc
125 S Bowes, 5th Floor
P 0 Eox 2226
Fort Collins CO 80522-2226
Phone : 970-482-7747 Fax : 970-484-4165
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
NAIC #
INSURED "
4 K Painting s Drywall 3=.
LaPorte CO 00535
INSURERA: Continental Western Ins Co
INSURER B. Plnnacol Assurance
INSURERQ2900
INSURER Er
---
INSURER E:
:OVERAGES
THE POLICIES OF INSURANCE LISTED EELOw HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT DR OTHER DOCUMENT WITH RESPECT TO WI4IC14 THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERON IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RE: IIIEICED BY PAID CLAIMS.
ILTR
N
TYPE OF INSURANCE
POLICY NUMBER
DATE D
DATE RA
LLNTS
A
GENERAL LIABILITY
X COMMERCIAL GENERALLIABILITY
CLAIMS MADE ® OCCUR
CNP2513832-2-1
04/25/07
04/25/08
EACH OCCURRENCE
$ 1000000
PRgAIS� Eaceeualee
$ 250000
MED EXP (Arty one pww)
S 5000
PERSONAL AADV INJURY
S 1000000
GENERAL AGGREGATE
S 2000000
GEHL AGGREGATE LIMIT APPLIES PER:
RO-
POLICY 7 JECCT LOC
PRODUCTS-COMPIOPAGG
$2000000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTDS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea x0denU
$
BODILY INJURY
(Perpe~en)
—^
BODILY INJURY
(Per atdde
S
PROPERTY DAMAGE
(Peraeddenq
$
GARAGE IJABILTTY
ANYAUTO
AUTO ONLY -EA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGO
$
I S
EXOES$NMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
Is
AGGREGATE
$
S
s �.
S
8
woRlcmRs COMPENSATION AND
EMPLOYERS'UABBftY
ANY PROPRIETORIPARTNERIDIEWTNE
OFFICEWMEMSER EYCLUDEDT
I yes, deaWbe under
SPECIAL PROVISIONS below
4080430
05/01/07
05/01/08
x TORY UMrrs st
E.L. EACHACCQDEMr
$100000
E.L. DISEASE -EA
$ 100000_ _
'V
E.L. D4SEASE-POLICY LIMIT
5500000
OTHER
DES"WITION OF OPERATIONS I LOCATIONS I VEHICLES I =LUBION9 ADDED BY ENOOR$EMENT I SPECIAL PROVISIONS
Fax#221-6534
I G flV WGR
CITY 'PT4 SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXRRATIO
City Of Fort C0111213 OATE7HEREOF, THE ISSUING INSURER TYI" BNDRAVORTO MAIL 10 DAYS WRITTEN
Operation Services NOTES TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
Attic' Steve IMPOSE NO OBYGATION OR LIABILITY OF ANY IOND UPON THE INSURER, ITS AGENTS OR
P. O. Box 580
Fort Collins CO 80522-1580 REP`�"TATINW&
25 (2001108) CACORD CORPORATION ISM