HomeMy WebLinkAboutADVANCED PEST MANAGEMENT COLORADO MOSQUITO CONTROL - INSURANCE CERTIFICATE (4)04/17/2007 01:39PM Pinnacol Assurance PAGE 2 OF 3
A CORD CERTIFICATE OF LIABILITY INSURANCE
DATE (
o4/1712oo7 /nr2
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
INSURER A: Pinnacol Assurance
41190
INSURER B.
NSURER C:
NSURER O,
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
ADO'L
INSRD
TYPE OF INSURANCE
POLICY NUMEER
POUCY EFFECTIVE
DATEIMM.DOHYYYI
POLICY E{PRAMON
DATEIMM,OD/YYYYI
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F� OCCUR
EACH OCCURRENCE
DAMAGE TO RENTED
PROMISES 11.... pr.n.a
_
MED EXP IAnY an. pmenl
PERSONAL A ADV INJURY
GEN'L AGGREGATE LIMIT APPUERS PER:
FOLCY PROJECT LOC
GENERAL AGGREGATE
PRODUCTS-COMP/OPAGG
ALITOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON4W NED AUTOS
COMBINED ANGLE LIMIT
IE..e.id.ntl
BODILY INJURY
to F•n.nl
BODILY INJURY
(Pip ..dd.ntl
PROPERTY DAMAGE
(P..cad. I
GAMGE LIABILITY
ANY AUTO
7
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: AGG
ESCEE6AIMBRELLALIAMLITY
OCCUR a CLAIMS MADE
DEDUCTIBLE
RETENTION F
EACH OCCURRENCE
AGGREGATE
A
IMORXERS COMPENSATION AND
EMPLOYERSLIABILITY
ANY FROPRIETORIPARTNERRXECUTIVE
OFFICEUMEMBER EXCLUDED'
II Yn. Flru dumb. undo 9PEDIAI, PROVISIONS bdaw
3060162
0310112007
03f0112008
X WC STATU- OTHER
TORY LIMITS
E L. EACH ACCIDENT
$100000
E.L.DISEASE.EAEMPLOYEE
$100:000
E.L.OISEASE•POLICYUMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS J LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVIBONS
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 SM21
ACORD 25 (2001108)
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 REPRESENTATIV
AUTHORIZED REPRESENTATIVE
Nichole Valdez
Underwriter ACORD CORPORATION 1988
CONLEYX CSR Support 0411707 01 .a5A2 a020162 U.d.t.d: 12/151199612:00:00 UW135
04/17/2007 01:39PM Pinnacol Assurance PAGE 3 OF 3
CERTIFICATE HOLDER COPY
CITY OF FT. COLLINS
PURCHASING DEPT.
CITY HALL WEST
FORT COLLINS CO 80521
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 endorsemerd(s).
If SUBROGATION IS WAIVED, subject to the terms and
conditions of the policy, tertian 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 ineurer(s), authorized representative
or producer, and the certificate holder, nor does it
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
CLASS DESCRIPTION
881005EXCLUSIVELY OFFICE
881005EXCLUSIVELY OFFICE
901405BUILDINGS-MAINTENANCE OPERATIONS BY CONTRACTOR
COVERAGE
COVERAGE
RATI
EFFECTIVE
EXPIRES
TYPE
03/01/2007
03/01/2008
EM
03/01/2007
03/01/2008
PF
03/01/2007
03/01/2008
EM