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Home My WebLink AboutCAMPANA - INSURANCE CERTIFICATECOLORRDO-BW INSURANCE Fax M02672231 Aug 20 2007 01: ACORN, CERTIFICATE OF LIABILITY INSURANCE P001l002 Colorado 9W Insurance Agency, Inc. 1075 W Horsetooth Rd, Ste 106 Fort Collins, CO 80526 5100 Abbey Rd Fort Collins, CO 80526-3952 r_nvPR&f:F.0 HOLDER. THIS INSURERS AFFORDING COVERAGE INSURERA: Colorado Casualty ID INSURER C: INSURER D: INSURER E: NOT NAIC # 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. MSR Dp TYPE OF INSURANCE POLN;Y NUNBER POLICY EFFECTIVE POLICY EXPIRATII LIMITS GENERAL LIABILITY CPPOS6486003 09/22/2007 09/22/2008 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERALLIASILITY DAMAGE 70 RENTED PREMISES (P. 5 100,00 CLANS MADE X❑ OCCUR MED EXP (My one person) $ 5 , 00 PERSONAL aADVINJURY $ 1.000.00 A GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIYAPPLIES PER: PRODUCTS-COMWOPAGG $ 21000,00 POLICY Q7`CO3 F LOC AUTOMOBILE UASILITY ANY AUTO COMBINED SINGLE LIMIT (Ea swdent) S BODILY INJURY T-Pe Rt) 5 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Lpvpwo.r) S HIRED AUTOS NON-OWNEDAVTOS PROPERTY DAMAGE (Per sovdenD 5 GARAGE UABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EAACC S ANYAUTO a 5 AUTO ONLY AGO EXCESSIUMBRELL�A- EACH OCCURRENCE S -LIABILITY T OCCUR u CLA{MSMgDE AGGREGATE S 5 5 DEDUCTIBLE S RETENTION S WORKERS COMPENSATION ANDOTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/E)ECUTIVE E.I. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? If Yes cl sWbe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 5 OTHER DESCRIPTION Q 9PERATIONS) LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS he certT 7cate holder is named as an Additional Insured. City of Fort Collins Purchasing Department PD Box 580 Fort Collins, CO 80522 ACORD2BL2nnlinm FAX; 221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LLUILITY ®ACORD CORPORATION NARK COLORADO-BW INSURANCE Fax 1S702672231 Aug 20 2001 01:36pm P002/002 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. ACORD 26 (2001109)