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HomeMy WebLinkAbout265716 WINDOW KING - INSURANCE CERTIFICATE (4)AC�RDn CERTIFICATE OF LIABILITY INSURANCE DA8115/2007/ 8/15007 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 Pueblo CO 81003 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (719) 544-2533 INSURERS AFFORDING COVERAGE NAIC k INSURED INSURER A: United Fire @ Casualty Group 13D21 Window King III INSURER B: REVISED INSURER C: 1383 Warbler Street INSURER D: 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 DD-L U50 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDEYYYI POLICY EXPIRATION DATE (MM/DIYYY) LIMITS -LI& GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 PREMISES Ea occurence $ 100,000 A X COMMERCIAL GENERAL LIABILITY 60327018 8/27/2007 8/27/2008 CLAIMS MADE ❑X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000.000 1a t Additional incur PRO.LOC POLICY JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea acadent) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per acadent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ f $ DEDUCTIBLE Is RETENTION $ WORKERS COMPENSATION AND _ OTH. WC STAI U-1 EH EMPLOYERS' LIABILITY ANY PROPRIETOCEWMEMBEEVPART ECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE, EA EMPLOYE $ EXCLUDED? OFFICEfUMEMBER E%CLUDED't If yes, describe under SPECIAL PROVISIONS below 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 CO 80522 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD loss IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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. 05 lonnl /nm