HomeMy WebLinkAboutWALKER MANUFACTURING - INSURANCE CERTIFICATEChent# 20651
WALMA2
ACORD- CERTIFICATE OF LIABILITY
INSURANCE
91181070Dnrrr)
PRODUCER
Flood & Peterson Insurance Inc
4821 Wheaton Drive
P O Box 270370
Fort Collins, CO 80527
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
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Walker Manufacturing Co
5925 East Harmony Road
Fort Collins, CO 80528
INSURERA Travelers Insurance Company
INSURER B
INSURER C
INSURER
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
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MFFECTIV
POLICY EXPIRATION
DATE MMIDDIYY,EXPIRATION
LIMITS
A
GENERAL LIABILITY
Y630671X5667
09/30/07
09/30/08
EACH OCCURRENCE
$1 000 D00
X COMMERCIAL GENERAL LIABILITY
CLr IMS MADE 51OCCUR
PREMGE TOEREeNCTED n
$300666
NED EXP(Anyone perso9)
$5000
PERSONAL& ADV INJURY
$1000000
GENERAL AGGREGATE
s2,000,000
_
GEN L AGGREGATE LIMIT APPLIES PIER
PRODUCTS -COMP/OP ADD
$2000000
POLICY JECT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
—
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTH
WCSTATU- IE
MIT
ANY PROPRIETOR/PARTNERIEXECUTIVE
EL EACH ACCIDENT
$
EL DISEASE - EA EMPLOYE
$
OFFICERIMEMBER EXCLUDED'
If yes describe under
SPECIAL PROVISIONS below
EL DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VE HICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is Additional Insured as their interests may appear regarding land
leased at 5244 Cessna Drive, Loveland, CO 80537 Certificate Holder is Mortgagee on
Property Coverage Loc# 2 - 5244 Cessna Drive, Loveland, CO
City Manager
City of Ft Collins
300 LaPorte Avenue
Fort Collins, CO 80521
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL l0_ DAYS WRITTEN
E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
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ACORD- EVIDENCE OF PROPERTY INSURANCE
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THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY
PRODUCER PHONE
LAIC No Ixp 970 266-8710
COMPANY
Flood & Peterson— Trisurance n1—c
Travelers Insurance Company
4821 Wheaton Drive
PO Box 26385
P O Box 270370
Richmond, VA 23260-6385
Fort Collins, CO 80527
CODE SUB CODE
AGENCY
CUSTOMER ID # 9 D F S
INSURED
LOAN NUMBER
POLICY NUMBER
Walker Manufacturing Cc
Y630671X5667TI
5925 East Harmony Road
EFFECTIVE DATE
EXPIRATION DATE
Fort Collins, CO 80528
09/30/07
09/30 0
1coN NueouNrn
TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED
9/11/2007
PROPERTY INFORMATION
LOCATIONIDESC RIPTION
5244 Cessna Drive
Loveland, CO 80538
COVERAGE INFORMATION
COVERAGEIPERILSIFORMS AMOUNT OF INSURANCE DEDUCTIBLE
Special Form, Replacement Cost, 90% Coinsurance
Blk Limit
Coverage Building
75,770
$5,000
REMARKS (Including Special Conditions)
CANCELLATION
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD SHOULD THE
POLICY BE TERMINATED THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 3 0 DAYS
WRITTEN NOTICE AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW
ADDITIONAL INTEREST
NAME AND ADDRESS
MORTGAGEE X ADDITIONAL INSURED
City Manager,City of Ft Collins
Loss PAYEE
300 LaPorte Avenue
LOAN#
Fort Collins, CO 80521
AUTHORIZED REPRESENTATIVE
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ACORD 27 (3193) 1 of 1 33589
MAE ID ACORD CORPORATION 199