HomeMy WebLinkAboutANDERSON WINDSOR GARAGE - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CS x6
DATE (MM DD/YVYY)
ANDEG-1
01 23 07
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Insurance Center -Loveland
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1530 N Boise Ave, Ste 106
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Loveland CO 80538
Phone:970-622-9800 Fax:970-622-9801
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: Mountain States Insurance
14648
INSURER B:
Anderson -Windsor Garage
Door Inc.
328 A. Link Ln #15
Fort Collins C6 80524
INSURER C:
INSURER D:
INSURER E:
.uven
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.
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDDM/
DATE MM/DDIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 , 000 , 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X� OCCUR
CPP010743201
01/25/07
01/25/08
PREMISES (Ea occurence)
$100, 000
MED EXP (Any one person)
$ 10 , 000
X Contractual Liab .
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP/OP AGG
$ 2 , 000 , 000
POLICY PROJECT LOC
AUTOMOBILE
LIABILITY
A
ANY AUTO
BAP010743201
01/25/07
01/25/08
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 000 000
r r
X
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORY LIMITS ER
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYE
$
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ccoTlolreTC unr noo.
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522
CITYF-1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
DATE THEREOF, THE ISSUING INSURER WILL?NDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAfED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION LI ILITY OF NYMIN! UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES. 4(�w
25(2001/08)