HomeMy WebLinkAboutVOGEL - INSURANCE CERTIFICATE (2)COLORADO—BED INSURANCE Fax 19702672231 May 3 2007 12:23p1a P001/002
ACORQ CERTIFICATE OF LIABILITY INSURANCE 02106`i2007
PRODUCER (970)223-0924 FAX (970)267-2231 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Colorado BW Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1075 W Horsetooth Rd, Ste 106 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW._
Fort Collins, CO 80526
INSURERS AFFORDING COVERAGE NAIL #
INeuRED VGL, Inc. INSUREAA Auto Owners Insurance 18989
USA: Vogel Concrete INSURERS:
6330 S. College Ave. INSURER C:
Fort Collins, CO 80525 INSURERD;
INSURERE:
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,
L
TYPE OF INSURANCE
Poway WINNER
PO EF
EXIT TION
UNITS
OENERALLIABILTTY
7409905207
01/17/2002
01/17/2008
FACHOCCURRENCE
s 1,000,000
X COMMERML GENERAL LIABILITY
DAMAGE TO RENTEO
S 300
CLAIMS MADE Q OCCUR
NED EXP (Any one po n)
i 5,0001
PERSONA- SAW INJURY
S 1 ow,
A
GENERAL AGGREGATE
S 2 ' 000
GEML AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMPIOP AGG
S 2,000,00
X POLICY JECT LOC
AUTOMDBLE LIABILITY
X ANYAUTO
4709905200
01/17/20 77
01/17/2008
COMBINED SINGLE LIMIT
(Eeacadenn
; 1,000 00
BODILY INJURY
(Par pe n)
S
A
ALL OWNEDAUT'OS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNEDAUTOS
BODILY INJURY
(Pwacddard)
S
PROPERTY DAMAGE
(Per eWlenn
i
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
S
ANYAUTO
$
'
AUTO ONLY: AGG
mmE33N11NBRELLA uAOLITY
EACH OCCURRENCE
S
OCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
onOl
S
$
RETENTION S
WORRERE COMPENSATION AND
RE C
1 rTJ
WC STATU- OTH-
EVI.OYERS' LIABILITY
ANY PROPRIETORIPARTNEWEXECUTLVE
-
EL. FAGHACCIDENT
S
E.L. DISEASE - FA FMPLO
S
OFFICEWMEMBER EXCLUDED?
Ryye& demiheuSIONndet
SPEl:l4L PROVIS below
E.L. DISEASE -POLICY LIMB
;
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENOMMMIGNT I SPECIAL PROVISIONS
e certificate holder is named as additional insured with respect to the ongoing operations
f the named insured.
CERTIFICATE CA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Era CANCELLED BEFORE THE
City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Purchasing Department
10 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,
attn : Christine
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
281 N College
OF ANY ROD UPON THE INSURIER, ITS A01M OR REP ENTATNES.
AUTHORIZED ATIVE
Fort Collins, CO 80521
Rosema
ACORD 25 (2001108) FAX: 221-6707 CACC#0 CORPORATION 1989
COLORADO-BW INSURANCE Fax 19702672231 May 3 2007 12:23pm P002/002
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, certain policies may
require an endorsement. A statement on this cardficate 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 insurer(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.
ACORD 25 (2001/08)