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HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE06/15/2007 12i54 FAX 2001/002 Ac RD,. CERTIFICATE OF LIABILITY INSURANCE o_ cos M0 0 W,T PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE mM International Milne of AZ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8310 S. Valley Highway- 3rd Fl ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80112 Phone: 303 -706 - 970 D INSURERS AFFORDING COVERAGE NAIC 8 INSURED INSURER OwneTB Insurance Cow Bn 32700 INSURERS. Amto•ommews maw rmae c'avyary 18988 Waterford Corporation MSURERC: 2innacol A86uranC! Con an 404 N. Link LAae Fort Collins CO 80522 INSURERD: — INSURER E: OVERAGES 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 ISsUE0 OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMriS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRC TYPE OF INSURANCE POLICY NUMBER DA MID DATE ID UMrTL A GENERAL LIABILITY X COMMERCIALOENERALLIADIUTY CLAIMS MADE nOCCUR 7413177807 06/23/07 06/23/08 EACH OCCURRENCE $1000000 PREMISES EaaeturWee $ 50000 MEG EXP(Any one Persm) $5000 $1000000 PERSONA &AOV INJURY GENERAL AGGREGATE PRODUCTS-_COMPIOP AGO _ S 2000000 OENL AGGREGATE LIMITAPPLIES PER POLICY F7 PJECRDT LOC $2000000 R AUTOMOBILE LIABIUTY ANY AUTO ALL OWNED AUTOS SCHEOULEDAUTOS HIRED AUTOS NON -OWNED AUTOS 45131778 06/23/07 06/23/08 COMBINED SINGLE LIMIT (Eaawden!) $1000000 X BODILY INJURY (Per parson) $ 4 BODILY INJURY (Per ecdd" S PROPERTYDAMAGE (Per aeeidem) S GARAGE LIABILITY ANYAUTO AUTO ONLY - FA ACCIDENT S OTHER THAN EAACC AUTO ONLY: AGG S S B EKCESWUMBRELLA LIABILITY X OCCUR CLAIMSMADE HDEDUCTIBLE X RETENTION $10000 45131776 06/23/07 06/23/08 EACH OCCURRENCE S 1000000 AGGREGATE s 1000000. , S S C WORKERS COMPENSATION AND EMPLOYERS' LIABRITY ANY PRDPRIETOR/PARTNLRlEXECUTNE OFFICER/MEMIDER EXCLUDED? H yes, describe ueder SPECIAL PROVISIONS Deis 4105522 D6/01/07 06/01/08 X TORY LIMITS ER FL EACHACCIOENT S 1000000 _.. El, DISEASE - EA EMPLOYEE $1000000 E.L. DISEASE -POLICY LIMIT S 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS Verification of insurance n..n CjTyjpTCr SHOULD ANY OF THE ADM DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Port Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYSWRITTEN Purchasing Divisin NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD SO SHALL Pax: 970 - 221- 67 07 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 N. Mason Port Collins CO 80522 RCPRESENTATrM. AU � l TAB , ACORD 25 (2001108) �ij/ Utf '// 0 ACORD CORPORATION 1989 06/15/2007 12:55 FAX 16002/002 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 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. 21; r2eeiffi8i