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HomeMy WebLinkAbout120140 VARSITY CONTRACTORS INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 1 DATEI oe10/ / vARsi-10 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Premier Insurance - IF HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 50340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Idaho Falls ID 83405 Phone:208-522-1260 Fax:208-522-1267 INSURERS AFFORDING COVERAGE NAIC# Varsity Contractors, Inc. PO Box 1692 Pocatello ID 83204 COVERAGES INSURER A. continental casualty ConPany _ 20443 INSURER B Tranaportatvon I .sane. Co. 20494 INSURER C American Casualty Co 20427 INSURER D: 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 INISK ADD LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/FECYY DATE MM/CY Dom N LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 B X XLCOMMERCIAL GENERAL LIABILITY GL2074973122 09/01/07 09/01/08 PREMISES (Ea occurence) $500,000 CLAIMS MADE 'LX OCCUR MED EXP IAny ona parson) E 5 , 000 PERSONAL 8 ADV INJU1,000,000 GENERAL AGGREGATE ',$2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $2, 000, 000 PRO — I POLICY X JELOG BI EBen. 1,000,000 AUTOMOBILE LIABILITY coMBwEDSINGLE UMR $1 000,000 B X ANY AUTO BUA2074973136 09/01/07 09/Ol/08 (Ea accident)r r ALL OWNED AUTOS BODILY INJURY E SCHEDULED AUTOS (Per person) - X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per (Per accdent) GARAGE LIABILITY AUTOONLYACCIDENT E ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE s5,000,000 }, X OCCUR .CLAIMS MADE L2076434402 09/01/07 09/01/08 AGGREGATE DEDUCTIBLE 8 $ $ X RETENTION $ 10 , 000 WORKERS COMPENSATION AND X TORY LIMITS X ER EMPLOYERS' LIABILITY B WC274973251 09/01/07 09/01/08 E.L.EACH ACCIDENT _ $1000000 ANYCERIMEMBEREXCLUDED? CUTIVE C - _ CLUDED� xe27497324e cACIeoHK1A 09/01/07 Oyes, 09/01/08 : EL DISEASE-EAEMPLOYEE E 1000000 e ddEeunder dead S yes, AL P'R a under SPECIAL PROVISIONS below EIOOOOOO EL DISEASE -POLICY LIMIT OTHER A Crime 268141543 09/01/07•. 09/01/08 Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS All coverages are subject to policy forms, conditions and exclusions. City of Fort Collins is additional insured for General Liability but only with regard to services provided by the insured. CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Director Of Purchasing PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. AU IZED REPRESEMjATIVF� _ _ _ ACORD 25 (2001108) © ACORD CORPORATION 1988