HomeMy WebLinkAbout4 K PAINTING - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE 4KPOAI-1PID DATE (MMIDD03 2907/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone:970-482-7747 Fax:970-484-4165
4 R Painting & Drywall INC.
2900 Galway
LaPorte CO 80535
COVFRAGFS
INSURERS AFFORDING COVERAGE NAIC #
INSURERA: Continental Western Ins Co
INSURER B: Pinnacol Assurance
INSURER C:
INSURER D:
INSURER E'.
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DAPOCY EFFECTIVE
TE MMIDD
P ERA
DATE MTDDIMN
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X❑OCCUR
CHP2513832-23
04/25/07
04/25/08
EACH OCCURRENCE
$ 1000000
PREMISES(Eaaccurence)
52500D0
MED EXP(Any one person)
$5000
PERSONAL B ADV INJURY
$1000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO
JECT LOC
PRODUCTS -COMPIOP AGG
s2000000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Es awdent)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILI7Y
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
I( yes describe under
SPECIAL PROVISIONS below
4080430
05/01/07
05/01/08
X TORY LIMITS ER
E.L. EACH ACCIDENT
$100000
E.L. DISEASE - EA EMPLOYE
$ 100000
E.L. DISEASE -POLICY LIMIT
1 $500000
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Fax#221-6534
UCK I WIUA I t KULOtrK CANCFI I ATIUN
CITYFT4
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
City
of Fort Collins
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYSWRITTEII
Operation Services
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn :
Steve
P. O.
Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort
Collins CO 80522-1580
REPRESENTATIVES.
AU RI REPRESFMIV
A%.VKU -0 (ZUUI IUD) V AGVKV GVKP'VKA I IVN 1955