HomeMy WebLinkAboutADVANCED PEST MANAGEMENT COLORADO MOSQUITO CONTROL - INSURANCE CERTIFICATE (7)ACORD- CERTIFICATE OF LIABILITY INSURANCE
DATE01/19/2007
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 .
INSURED
ADVANCED PEST MANAGEMENT OF COLORADO INC
695 NORTH 7TH AVENUE
BRIGHTON CO 80601
INSURER A: Pinnacol Assurance - ---j
INSURER 8
INSURERC: JAI,
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
LTA
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
OATE(MM/DDM'YY)
POLICY EXPIRATION
DATE(MM)DD/VVYY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 11 OCCUR
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea ocemrance)
MED EXP (Arty one pereon)
PERSONAL a ADV I W URY
GEN'L AGGREGATE LIMIT APPLIERS PER:
POLICY PROJECT LOD
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NONI WNED AUTOS
COMBINED SINGLE LIMIT
Ea accident)
BODILY W URY
(Per pmonj
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(PeracciWM)
GARAGE LIABILITY
ANY AUTO
AUTOONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY'. AGG
IXCESSAJMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
AGGREGATE
A
WORKERS COMPENSATION AND
EMPLOYERS` LIABILITY
ANY PROPRIETOR/PARTNEFVEXECUTIVE
OFFICE"EMBER EXCLUDED?
If yea, please describe urafer SPECIAL PROVISIONS belowI
3080162
I
03/01/2006
03/01/2007
I
X MSTATU- OTHER
TORY LIMITS
E.L. EACH ACCIDENT
o�
$100000
E.L. DISEASE - EA EMPLOYEE
$100000
E.L. DISEASE- POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
CERTIFICATE HOLDER
CANCELLATION
962803
THE CITY OF FORT COLLINS
CITY HALL W EST
300 LAPORTE AVENUE
FORT COLLINS CO 80521
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 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
John Unrein
Underwriter ACORD CORPORATION 1998
ORTEGAD CS Support 01 /1QM710:e8:03 wao1 e2 Updaled: IVIS/I NO 12:00:00 UW1BE
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
THE CITY OF FORT COLLINS
of this form does not constitute a contract between
CITY HALL WEST
the issuing insurer(s), authorized representative
300 LAPORTE AVENUE
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
03/01/2006 03/01/2007
EM
881005 EXCLUSIVELY OFFICE
03/01/2006 03/01/2007
PF
901405 BUILDINGS -MAINTENANCE OPERATIONS
BY CONTRACTOR 03/01/2006 03/01/2007
EM