HomeMy WebLinkAboutCARNES SERVICES - INSURANCE CERTIFICATE (2)3/5/2007 9:07 AM FROM: JCB Beckett _Associates TO: 2246134 PAGE: 001 OF 002
ACORDL CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
03/05/2007
PRODUCER (970) 484-2805
John C. Beckett &Associates, Inc.
220 Smith Street
Ft. Collins CO 80524-
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
Carnes Services, LLC
PO BOX 1258
Wellington CO 80549-
INSURER Burlington Insurance CO
INSURER B Northland Insurance
INSURER PINNACOL ASSURANCE CO.
INSURER D.
INSURER
Pf1VPCArF62
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.
INSR
LTR
DD'L
INSRO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDD/YY)
POLICY EXPIRATION
DATE (MMA]DNY)
LIMITS
A
-
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE NX OCCUR
210BR00033
/ /
/ /
02/27/2007
I I
/ /
/ /
02/27/2008
I I
EACH OCCURRENCE
$ 1,000,000
RENTED
PREMISES DAMAGE TO Ea occurrence
$ 1 OO , OOO
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
X POLICYF—j URCT LOC
PRODUCTS - COMP/OP AGG
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON-OVMJEDAUTOS
CT129847
/ /
09/18/2006
/ /
/ /
09/18/2007
/ /
COMBINED SINGLE LIMIT
(Ea accitlenq
$ 1,000,000
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Peraccident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
NO COVERAGE
/ /
/ /
AUTO ONLY - EAACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY AGG
$
$
EXCESSIUM13RELLA LIABILITY
OCCUR ❑ CLAIMSMADE
DEDUCTIBLE
RETENTION $
NO COVERAGE
/ /
/ /
/ /
/ /
EACH OCCURRENCE
$
AGGREGATE
_
$
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4056971
05/01/2006
05/01/2007
X TORY LIMITS ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE$
1,000,000
EL.DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
NO COVERAGE
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESrEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
UtK IIPIUA It MULUtK
CITY OF FT. COLLINS/STREETS DEPT.
PO BOX 580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
FT. COLLINS CO 80522-
AUTHORIZED REPRESENTATIVE ,,,
The IKA Financial Group, Inc.
IKK of Colorado, Inc.
1550 17th Street
Suite 600
Denver, CO 80202
City of Fort Collins
300 La Porte Ave.
Fort Collins, CO 80521
USA
USA
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the Producer/Agent listed on the certificate of insurance.
CC:
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