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HomeMy WebLinkAboutCOLEBANK CONSTRUCTION - INSURANCE CERTIFICATE (2)ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) _ 082012007 PRODUCERPIN wry OL Blvd ASSURANCE 7501 E Lowry Denver, CO 80230230-7006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. INSURERS AFFORDING COVERAGE NAIL# INSURED wsuRERA. PINNACOL ASSURANCE 41190 COLEBANK CONSTRUCTION, INC. 2769 MCKEAG DR ' FORT COLLINS, CO 80526 INSURERS INSURERS. INSURERS INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUDI POLICY EFFECTIVE PMICY E% PIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER OATE(MMIDDM'VY) DATE(MMIDD/YYW) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMSMADE El OCCUR PREMISES MEO EXP(Any onePe rzon) PERSONAL A ACV INJURY GENL AGGREGATE LIMIT APPLIERS PER. GENERAL AGGREGATE PRODUCTS-COMPIOPAGG POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT ANY AUTO (Ee AccNmC BODILY INJURY ALL OWNED AUTOS SOHEDULEDAUTOS (Per Oerton) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident PROPERTY DAMAGE P. accident GARAGE UABNTY AUTO ONLY- EA ACCIDENT OTHER THAN EAALL ANYAUTO - AIRO ONLY: AGO E%CE981UMBRELLA LIABIUTV EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND ) WC STATU- OTHER A EMPLOYER'S UABIUTV ANY ETORIPARTNEWEXECUTIVE 4029429 06/01/2007 06/01/2008 iORV LIMBS . EL EACH ACCIDENT $100,000 WMEMBER E%LW DEOI OFFICEE E.L G6EASE-EA EMPLOYEE $100,000 If yee,gease dee[riCeuntlerGPECIAL PROVISIONS Eelaw E1015EA8E-POLICYLIMIT $500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1009356 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO PO BOX 580 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE FORT COLLINS CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Christina Noakes ACORD 25(2001108) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS PO.BOX 580 FORT'COLLINS CO 80522 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, certian 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.