HomeMy WebLinkAbout103910 ARAGON IRON & METAL INC - INSURANCE CERTIFICATEClient# 12935
ARAIR
ACORD, CERTIFICATE OF LIABILITY
INSURANCE
DATE
10/04/07 (MMIDDfYYYY)
PRODUCER
Flood & Peterson Insurance Inc
4821 Wheaton DFIVB
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
Aragon Iron & Metal Corp
516 Highway 287, North
Fort Collins, CO 80524
INSURERA Granite State Insurance
INSURER B National Union Fire Insurance
INSURERC Pmnacol Assurance
INSURER D
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 pgTEYMMIDDNVE POLICY
DATE MMIDDIYYN LIMITS
A
GENERAL LIABILITY
02LX62627250
10/01/07
10/01/08
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILTY
CLAIMS MADE O OCCUR
DAMAGE TO RENTED
PREMISES Ea ccurrerice
$3OO OOO
MED EXP (Any one person)
$1 O 000
PERSONAL B ADV INJURY
$1 DOD 000
GENERAL AGGREGATE
s2,000,000
GEN LAGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGO
$2000000
X POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
02CA62696970
10/01/07
10/01/06
COMB{NEDSINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
X
PROPERTY DAMAGE
(Per accident)$
Drive Other Car
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGO
B
EXCESSIUMBRELLA LIABILITY
29UD04075360
10/01/07
10/01/08
EACH OCCURRENCE
$1,000000
X OCCUR ❑ CLAIMS MADE
AGGREGATE
$1 00O 000
NX
$
DEDUCTIBLE
$
RETENTION $ 10000
C
WORKERS COMPENSATION AND
3081185
03/01/07
03/01/08
X U- WCSTAIOTH
M
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEMEXECUTNE
E L EACH ACCIDENT
$500,000
E L DISEASE - EA EMPLOYEE
$500,000
OFFICER/MEMBER EXCLUDED'
IF yes describe under
SPECIAL PROVISIONS below
E L DISEASE -POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins
PO Box 580
Fort Collins, CO 80522-0580
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ 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
ACORD 25 (2001/08) 1 of 2 #S395559/M395557 JZS 0 ACORD CORPORATION 1988
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, 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
ACORD 25-S (2001108) 2 of 2 #S395559/M395557
Client# 12935
ARAIR
ACORDr. CERTIFICATE OF LIABILITY
INSURANCE
DATE
10/04/07DnYVY)
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
Aragon Iron & Metal Corp
516 Highway 287, North
Fort Collins, CO 80524
INSURERA Granite State Insurance
INSURER National Union Fire Insurance
INSURERC Pinnacol Assurance
INSURER D
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 MMIDDNY
POLICY EXPIRATION
DATE MM DDNY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL DABILITT
CLAIMS MADE N OCCUR
02LX62627250
10/01/07
10/01/08
EACH OCCURRENCE
$1000000
PREMISE GE TOEa occuence
$300000
MED EXP (Any one person)
$1 O 000
PERSONAL & ADV INJURY
$1 000 O00
GENERALAGGREGATE
$2 000 O00
GEN LAGGREGATE LIMITAPPLIES PER
X POLICY PRO LOG
ECT
PRODUCTS COMP/OP AGO
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OW NED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Drive Other Car
02CA62696970
10/01/07
10/01/08
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
X
PROPERTYAGE
(Per accitlendent) Q
$
AGE LIABILITY
ANY AUTO
I
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY AGG
$
$
B
ESSIUMBRELLALIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
NXRETENTION$ 10000
29UD04075360
10/01/07
10/01/08
EACH OCCURRENCE
$1000000
AGGREGATE
$1 OOO 000
$
$
C
_
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED'
If yes descnbe under
SPECIAL PROVIS IONS below
3081185
03/01/07
_
03/01/08
X TWRC V LIMITE STATU CEH-
E L EACH ACCIDENT
$500,000
EL DISEASE - EA EMPLOYEE
$500,000
EL DISEASE -POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is listed as an Additional Insured
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'if)_ 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
ACORD 25 (2001108) 1 of 2 #S395560/M395557 JZS 0 ACORD CORPORATION 1988
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, 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
AUUKU 25-5 (zuovae) 2 of 2 #S395560/M395557