HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATEACDRD,N CERTIFICATE OF LIABILITY INSURANCE
088�ziiooi
PRODUCER (970)223-0924 FAX (970)267-2231
Colorado BW Insurance Agency, Inc.
1075 W Horsetooth Rd, Ste 106
Fort Collins, CO 80526
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 POLICIES BELOW.
1
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Anlance Protection Ltd
BO
Ft Collins, CO.80522
-
INSURERA'. All Risks Limited
-
PinOdC01 Assurance -
- ---
INSURER C:
INSURER O:
-
INSURER E:
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 AL i THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADD'L
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
IMM/DDIYYi
ON
POLICY EXPIRATDATE
DATE IYi
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE M OCCUR
51GL000975071
07/13/2007
07/13/2008
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
$ SO, OOO
MED EXP (Any one person)
$ 15,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY r7 PRO- LOC
JECT
PRODUCTS - COMPIOP AGG
$ 1,000,000
_
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS -
NON-OWNEDAUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
I
B (Per
(Per person)
person)
$
..
BODILY INJURY
(Per ecCdent)
$
PROPERTY DAMAGE
(Per accident)
$
..
. _
GARAGE LIABILITY
ANYAUTO
-
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR ❑ CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
B
-
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMSEREXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4064145
01/01/2007
01/011/2008
X I WCSTATU- I-
E.L.EACH ACCIDENT
$ 1,000,000
EL DISEASE - EA EMPLOYEE
:$— 11000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
OTHER
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The certificate holder is named as an Additional Insured with respect
f the Named Insured on the General Liability only.
to the ongoing operations
City of Fort Collins
Finance & Purchasing Department
Attn: Christine Jarvis
215 N. Mason St., Second Floor
PO Box 580
Fort Collins, CO 80522-OS80
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
I
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEI
I
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSU ER, ITS AGENTS OR
AUTHORIZED REPRESENTAT E
ACORD 25 (2001/08) FAX: 221-6707 1 / OACORD CORPORATION 1988
RMOO] :4rA►r�
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 endorsemenl(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 cc
the issuing insurer(s), authorized representative or producer, and the ce
affirmatively or negatively amend, extend or alter the coverage afforded
a contract between
holder, nor does it
policies listed thereon.
ACORD 25 (2001/08)