HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE )
7/31/2007aoo7
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SCA Insurance - Pueblo
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1414 West 4th Street
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Pueblo CO 81003
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(719) 544-2533
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Window King III
INSURERA: United Fire & Casualty Group
13021
INSURER B:
INSURERC:
1383 Warbler Street
INSURERD:
Loveland CO 80537
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADD'L
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION DATE (MM/DDIM
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 11000.000
DAMAGE TO RENT
PREMISES Eaoccurence
$ 100,000
A
NCOM MERCIALGENERALLIABILITY
CLAIMS MADE a OCCUR
60327018
8/27/2007
8/27/2008
MED EXP (Any one person)
$ 51000
PERSONAL & ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 2,000,000
GE N'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
X POLICY PRO-
JECTLOC
Blanket Additional insus
AUTOMOBILE
LIABILITY
A
ANY AUTO
60327018
8/27/2007
8/27/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
X OCCUR 7CLAIMS MADE
60327018
8/27/2007
8/27/2008
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
$
DEDUCTIBLE
$
X RETENTION $ 10.000
WORKERS COMPENSATION AND
WC STATU- OTH-
CRYEMPLOYERS'
LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
tl yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate holder is additional insured.
City Of Fort Collins
Purchasing Division
215 N. Mason Street
Fort Collins CID 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
0 ACORD CORPORATION 1988
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.