HomeMy WebLinkAboutADVANCED PEST MANAGEMENT COLORADO MOSQUITO CONTROL - INSURANCE CERTIFICATE (6)04/17/2007 01:39PM Pinnacol Assurance PAGE 2 OF 3
Q�ORD ., CERTIFICATE OF LIABILITY INSURANCE
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ATE 1411712 07
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PImaool AEMLnanoD
7601 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.
AMRDNG COVERAGE MAIC X
INSUIMD
ADVANCED PEST MANAGEMENT OF COLORADO INC
696 NORTH 7TH AVENUE
BRIGHTON CO 80601
IWUI!SOBERS
MRA: nacol Assmange
NSUIR a
N:uNER c.
xsuo D:
INSUMR ■:
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.
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ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUT05
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NONAW NED AUTOS
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ANY AUTO
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AUTOONLY: AN
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3080182
D310112007
O3R1112008
WC STATED OTI*R
TOM OMITS
LL IACH AMIAMT
0100 000
E.L. DISEASE • EA EMPLOYEE
$100 000
a . DISEASE. FGuCY uMIT
16D0000
OTIOIR
OE1aEOITION Of MPATESNS I LOOAEIOFLa I VENIVAS I1EOLUMON E ADDED al EMD01EMISNT I YFOIAL MIOMDONI
SEE BACK OF CERMCATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
CERTIFICATE HOLDER
CANCELLATION
SS3376
CITY OF FT. COLLINS
PURCHASING DEPT,
CITY HALL WEST
FORT COLLINS CO S0621
ACORD 26 (2001108) -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
0 GAYS WRITTEN HOITCE TO THE CERTIFICATE HOLDER HAMED 10 THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATry
AUTHORREO REPRESENTATIVE
Nichole Valdez
Underwriter ACORD CORPORATION IBM
COMLEI'ECSR%....,. 04n7A1701:35AT 3OEOIS2 URJnN: ILIEn"Si2MMOD UWIOS
04/17/2007 01:39PM
Plnnacol Assurance
CERTIFlCATE HOLDER COPY
IZ00 411c3
OF 3
CITY OF FT. COLLINS
PURCHASING DEPT.
CITY HALL WEST
FORT COLLINS CO 80521
"ORTANT
It the cert8iaate holder Is an ADDITIONAL INSURED,
the poArylles) must be endorsed. A statement on
this osrtiflowe does not oonfer rights to the
certificate holder in lieu of such andoreemont(a).
It SUBROGATION IS WAIVED, subject to the terms and
conditions of the poky, cortian policies may
requtn an endorsement. A statwrwnt on this
oertifiosto does rat oonfw rights to the
canilloato holder in Ilou of such erdorasnwnt(a).
DISCLAIMER
The Certificate of Ir"rance on the reverse side
of this form don not oonstrtulo a oonaaot between
the isawng insursr(q, authorized repreaentatiw
or producer, and the certificate holder, nor doss It
affirmatively or negatively amend, extend or alter
the coverage afforded by the policiee listed thereon.
POLICY NUMBER; 3080162
BUSINESS LOCATION: Advanced Pest Management Of Colorado Inc
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
881005EXCLUSIVELY OFFICE
881005EXCLUSIVELY OFFICE
901406BUILDINGS-MAINTENANCE OPERATIONS BY CONTRACTOR
COVERAGE
COVERAGE
EFFECTIVE
EXPIRES
03/01/2007
03/01/2008
03/01/2007
03/01/2008
03/01/2007
03/07/2008
RATI
TYPE
EM
PF
EM