HomeMy WebLinkAbout124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATE (2)OP ID D
ACORD DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE TOPGU-1 06 13 07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown 6 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone: 970-482-7747 Fax: 970-484-4165 INSURERS AFFORDING COVERAGE NAIC
INSURED INSURER A: Pinnacol Assurance
INSURER B: AUTO OWNERS INS CO. 18988
TOp Gun Pressure Washing Inc. INSURERC Wellington specialty Ina Co
50D W 67th St INSURER D:
Loveland CO 80538
INSURER E:
AGES
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
INSRC
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDD
DATE MMIDO
LIMITS
C
GENERAL LIABILITY
X COMMERCWLGENERALLIABILITY
CLAIMS MADE X❑ OCCUR
0500200562
11/03/06
11/03/07
EACH OCCURRENCE
$ 1 , 000 , OOO
PREMISES Escccurence
$ 50,000
MED EXP (Any one person)
$ 1 , 000
PERSONAL 8 ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
PRODUCTS -COMPIOP AGG
$2,000,000
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
4657764800
10/31/06
10/31/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
X
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR F—ICLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNEPJEXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes describe under
SPECIAL PROVISIONS below
4031609
07/01/07
07/01/08
TORY LIMITS ER
E.L. EACHAcc1DEASNT
$ 1000000
E.L. DISEE-EA EMPLOYE
$ 1000000
E.L. DISEASE -POLICY LIMIT
$ 1000000
B
OTHER
Contractors Eq
74577648
10/31/06
10/31/07
Leased or 100,000
Rented E $500 Ded
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Painting Exterior (Pressure Washing)RE: Bid #5827 Parking Structures Snow
Removal
CERTIFICATE HOLDER CANCELLATION
TCpURC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 N Mason
_.. Fort-- Collins--. CO- BZ522 -. -.. REPRESENTATIVES.
At/f1lQRIgD REPRESE ,
ACORD 2512001/081 VACORD CORPORATION 1988