HomeMy WebLinkAbout357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE
03-28-2007
PRODUCER
LEID FINANCIAL GROUP INC/PHS
342560 P: (866)467-8730 F: (877)905-0457
ITHIS 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.
PO BOX 33015
SAN ANTONIO TX 78265
INSURERS AFFORDING COVERAGE
INSURED
INSURERA:Hartford Casualty Ins Cc
INSURER B:
LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW
INSURER C:
820 MERGANSER DRIVE 406
INSURER D:
FORT COLLINS CO 80524
INSURER E:
COVERAGES
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 CLAIMS.
INSR rypE OF INSURANCE
LT
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE MMIDD/VV DATE MMIDD/YY LIMITS
GENERAL LIABILITY
`EACH OCCURRENCE I $1 r 0 0 0 r 0 0 0
A
COMMERCIAL GENERAL LIABILITY
34 SBA PE5367
05/26/07
05/26/08 FIRE DAMAGE (Any one lire) s300,000
CLAIMS MADE U OCCUR
X Business Liab
MED EXP (Any one person) I $10 , 000
IPERSONAL&ADV INJURY $1 , 000 r 000
GENERAL AGGREGATE s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY I I PROECT X LOC
J
PRODUCTS - COMP/OP AGG s2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
j
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
S
EXCESS LIABILITY _
OCCUR u CLAIMS MADE
EACH OCCURRENCE I $
(AGGREGATE I $
$
$
DEDUCTIBLE
$
RETENTION S
WORKERS COMPENSATION AND LIABILITYWC
EMPLOYERS'
STATU- OTH-
T RYLIMII� ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
I
E.L. DISEASE -POLICY LIMIT
S
OTHER
DESCRIPTION OF OPERATIONS/LOCATKINSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
i
CERTIFICATE HOLDER I ADDITIONAL INSURED; INSURER LETTER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
The City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Purchasing Dept
PO BOX 580
Fort Collins CO 80522-0580
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
A Ofl D RE�flESE_ NjATI�
Q ACORD CORPORATION 1988