HomeMy WebLinkAbout254063 W L CONTRACTORS - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE
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PRODUCER (303) 798-2534 FAX: (303) 798-2536
Lautenbach Insurance Agency, LLC
5721 S. Nevada St.
Littleton CO 80120
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
W.L Contractors, Inc.
6435 W. 55th Ave.
Arvada CO 80002
INSURER A: Mountain States Ins.
INSURERB:Plnnacol Assurance
INSURERC:Sa£eco Insurance Co.
INSURER D:
INSURERE:
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.
kTE LIMITS SHOWN MAY HAVE BEE q REDUCED BY PAID CLAIMS,
INSR
ADD'L111M
TYPE OF INSURANCE
POLICY NUMBER
DATE (MMIDOIYYPOLICY E
POLICY
MMIDOIYY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑X OCCUR
X Contractual Liab
CPP0098006
5/l/2007
5/1/2008
EACH OCCURRENCE
g 1,000,000
DAMAGE TO RENTEDPREMISES (Ea occurrence)
g 100,000
10,000
MEDEXP An one person)$
ADVINJURY$
1,000,000
ENERALAGGRE ATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:COMPIOPAGG$
POLICY X PRC LO
2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
BAP0098006
5/1/2007
5/1/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
S
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR 7 CLAIMS MADE
DEDUCTIBLE
XRETENTION $10,000
UNB0098006
5/l/2007
5/1/2008
5,000,000
AGGREGATE
$ 5,000,000
It
It
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
It yes, describe under
SPECIAL PROVISIONS ba1
2327630
1/1/2007
1/1/2008
I WC STATU- OTH-
E.L. EACH ACCIDENT
g
E.L. DISEASE - EA EMPLOYEES
E.L. DISEASE - POLIYLIMIT
C
OTHER Installation Floater
01-CE-717347-8
1/1/2007
1/1/2008
Location $1,000,000
DeTeaP & Transit $500,000
DESCRIPTION OF OPERATIONSILOCATIONS)VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Contractors License
City of Ft. Collins
P O Box 580
Ft. Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
AUTHORIZED REPRESENTATIVE
Fred Lautenbach/NATE
MV V RY L.7 �f V V 1 /Y0I 0 ACORD CORPORATION 1988