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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