HomeMy WebLinkAboutADVANCED PEST MANAGEMENT COLORADO MOSQUITO CONTROL - INSURANCE CERTIFICATE (10)04/17/2007 01:39PM Pinnacol Assurance PAGE 2 OF 3
CERTIFICATE
ACORD„ CERTIFICATE OF LIABILITY INSURANCE
DATE
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Pinnacol ABeurance
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
7501 E Lowry Blvd
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER CO 80230-7006
AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURED
INSURER A: Pinnacol Assurance
41190
ADVANCED PEST MANAGEMENT OF COLORADO INC
INSURER B:
695 NORTH 7TH AVENUE
NSMER C:
BRIGHTON CO 80601
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.
I NSR
A00'L
POLICY EFFECTIVE
POLICY EXRRATION
LTR
INSPO
TYPE OPINSURANCE
POLICY NUMBER
DATEIMMADNYYYI
DATEIMMDONYYYI
UNITS
GENERAL UABILMY
EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY
CLAIMSMADE 11 OCCUR
DAMAGE TO RENTED
PREMISES IS..mur.n..1
MID EXP AA ... P.n.nl
PERSONAL L AOV INJURY
GEN'L AGGREGATE UNIT APPIJER5 PER:
GENERAL AGGREGATE
PRODUCTS - COMPIOP AGO
POLICY PROJECT LOC
AUTOMOBLE LUNNLRT
COMBINED ANGLE LIMIT
ANY AUTO
IE. ..cid.ml
BODILY I NJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
Ip�p.n.nl
BODILY INJURY
HIRED AUTOS
NONZ W NED AUTOS
IPr wddnd
PROPERTY DAMAGE
IPr .edd.ntl
GARAGE LIABLRT
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
ANY AUTO
AUTO ONLY: AGO
ERCEEENNBRELLALIABLITY
OCCUR CLAMS MADE
EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION t
WON: IRS COIAFENSATION AND
X WCSTATU- OTHER
A
EMPLOYERS LABILITY
ANY PROPRIETORIPARTNERBIXECUTIVE
3060162
03/01/2007
03/01 /2008
TORY OMITS
E.L. EACH ACCIDENT
0100,000
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$100,000
IRv... pI....d...ib..nd.r SPECIAL PROVISIONS b.I.w
E.L. DISEASE -POLICY OMIT
$500.000
OTHER
DESCBPTION OF OPERATIONS / 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
983376
CITY OF FT. COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
PURCHASING DEPT.
CITY HALL WEST
FORT COLLINS CO 80521
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 REPRESENTATIVE
AUTHORIZED REPRESENTATIVE
Nichole Valdez
ACORD 25 (2001/08)
Underwriter ACORD CORPORATION 1988
CONLEYK CSR S.Pp.rt 0417,0701:35:47 3080162 UPdn.d: 1211SIl 99612'.00:00 UW I
04/17/2007 01:39PM
Pinnacol Assurance
CERTIFICATE HOLDER COPY
PAGE 3
OF 3
CITY OF FT. COLLINS
PURCHASING DEPT.
CITY HALL WEST
FORT COLLINS CO 80521
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 1S WAIVED, subject to the terms and
conditions of the policy, tertian policies may
require an endorsement. A statement on this
certificate does not confer rights to the
certificate holder in lieu of such endorsementW.
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.
POLICY NUMBER: 3080162
BUSINESS LOCATION: Advanced Pest Management Of Colorado Inc
CLASSIFICATION OF OPERATION
CLASS DESCRIPTION
881005EXCLUSIVELY OFFICE
881005EXCLUSIVELY OFFICE
901405BUILDINGS-MAINTENANCE OPERATIONS BY CONTRACTOR
COVERAGE COVERAGE
EFFECTIVE EXPIRES
03/01/2007 03/01/2008
03/01/2007 03/01/2008
03/01/2007 03/01/2008
RATI
TYPE
EM
PF
EM