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.
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