HomeMy WebLinkAboutADVANCED PEST MANAGEMENT COLORADO MOSQUITO CONTROL - INSURANCE CERTIFICATE (3)ACORD- CERTIFICATE OF LIABILITY INSURANCE
DATE(0MM/D 00YYVV)
PRODUCER
Pinnacol Assurance
7501 E Lowry Blvd
DENVER CO 80230-7006
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
ADVANCED PEST MANAGEMENT OF COLORADO INC
695 NORTH 7TH AVENUE
BRIGHTON CO 80601
INSURERA: Plnnacol Assurance
41190
INSURER B.
INSURERC:
INSURER D.
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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DDNYYY)
POLICY EXPIRATION
DATE(MM/DD/V1'YY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Arty one person)
PERSONAL 8 ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER:
POLICY PRQIECT LOC
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGO
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea sccideM)
BODILY INJURY
(Per elson)
BODILY INJURY
(Per accid M)
PROPERTY DAMAGE
(Per accident)
GARAGE UABILIT'
ANYAUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: AGG
E%CESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
AGGREGATE
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEREXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, ploue describe under SPECIAL PROVISIONS beb
3080162
03t01/2007
03t01/2008
WC STATU- OTHER
TORY LIMITS
E.L. EACH ACCIDENT
$100000
E.L. DISEASE - EA EMPLOYEE
$100,000
1
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
CERTIFICATE HOLDER
CANCELLATION
983376
CITY OF FT. COLLINS
PURCHASING DEPT.
CITY HALL WEST
FORT COLLINS CO 80521
ACORD 25 2001ro8
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Nichole Valdez
Underwriter ACORO CORPORATION 1988
CONLEYK CSR Suppod 04/17X7 01:W47 =W1152 Updated: 12/15/1WO 12:00:00 LANISS
CERTIFICATE HOLDER COPY
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, certian 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
CITY OF FT. COLLINS
of this form does not constitute a contract between
PURCHASING DEPT.
the issuing insurer(s), authorized representative
CITY HALL WEST
or producer, and the certificate holder, nor does it
FORT COLLINS CO 80521
affirmatively or negatively amend, extend or alter
the coverage afforded by the policies listed thereon.
POLICY NUMBER: 3080162
BUSINESS LOCATION: Advanced Pest Management Of Colorado Inc
CLASSIFICATION OF OPERATION
COVERAGE COVERAGE
EFFECTIVE EXPIRES
RATING
TYPE
CLASS DESCRIPTION
881005 EXCLUSIVELY OFFICE
03/01/2007 03/01/2008
EM
881005 EXCLUSIVELY OFFICE
03/01/2007 03/01/2008
PF
901405 BUILDINGS -MAINTENANCE OPERATIONS BY CONTRACTOR 03/01/2007 03/01/2008
EM