HomeMy WebLinkAboutVOGEL CONCRETE VGL INC - INSURANCE CERTIFICATEEB. 6.2007- 4;124C�COLORADO-BW INSURANCE 9702672231 N0.12
arcu tAk i irICA i s ur LIAMILI I T wizuRANCE
Colorado BW Insurance Agency, Inc.
1075 W Horsetooth Rd, Ste 106
Fort Collins, CO 80526
DBA: Vogel Concrete
6330 S. College Ave.
Fort Collins, CO 80525
OVERA ES
ATE IS ISSUED AS A MAT
IFERS NO RIGHTS UPON
CERTIFICATE DOES NOT
INSURERS AFFORDING COVERAGE
INSURERA; Auto Owners Insuranc
INSURER R.
INSURER C:
INSURER D:
INSURER E:
EfA
NAIC 0
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT(AIITHSTANDING
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 OE SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$.
I SR
mm
TYPE OF INSURANCE
POLICY NUMBER
PO FFFECTNE
PG EMRA
LIMITS
A
GENERAL UAMUrt
X COMMERCIAL GENERAL LwearTY
CUU MS MADE FX] OCCUR
TBD
01/17/2007
01/17/200a
EACH OCCURRENCE
S 1,000,000
DAMAGE TO RENTED
IM
i 300
MED E%P 6Ar0' one Person)
S S.
PERSONAL SADV INJURY
S 11000,000
GENERAL AGGREGATE
S 2,000 00
GEN'L AGGREGATE LIMIT APPLIES PER
-1 7POLICY P�7 LOC
PRODUCTS -COMPIOP AGG
S 2,000 00
A
AUTOMOBILE
LIABILITY
ANY AM
—ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NO"WNED AUTOS
TBD
01117 22007
61/17/2008
COMBINED SINGLE LIMB
(Ea aedda,I)
I
1 000,
)(
BODILYINJURY
(Perpereon)
S
X
BODILY INJURY
(Per st6devo
S
X
PROPERTY DAMAGE
(Per aedoenq
S
GARAGE LU1JIRjTY
ANY AUTO
AUTO ONLY -EA ACCIDENT
S
OTHER THAN��
AUTOONLY. AGG
S
S
EXCESSAINIR LA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
S
AGGREGATE
3
S
S
S
sIMRIpFRSCOMPENSATIONAND
EIPLOYERS'LIABILITY
ANY PROPRIEfOWPARTHERIEXECUTIVE
OFFICERnAWo R EXCLUDED?
If Yee, dor,Poe ender
SPECIAL PROVISIONS Below
WCSTATU• OTH-
E.L. EACH ACCIDENT
S
E.L DISEASE -EA EMPLOYE
I
E.L. DISEASE • POLICY UMIT
S
OTHER
DBSGIMPTION OF OPERATIONS I LOCH IMNS I VEHICLES I DXCLUMNS ADVED BY ENDORSEMENT I SPE ML PROVISIONS
City of Fort Collins
Accounting Department
attn: John Stephen
PO Box 580
Fort Collins, CO 80522-OS80
SHOULD ANY OF THE ABOVE pESCRIBEO PDLIDIEE BE CANCELLW 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 MAIL SUCH NOTICE $HALL eHPOBE NO OBLIGATION OR LIABILITY
ACORD 25 (200110B) FAX: 221-6707
CORPORATION iBBB
FEB. 6.2007 4:12PM COLORADO-BW INSURANCE 9702672231 N0,125--P.
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(es) 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 certificate 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)