HomeMy WebLinkAboutBRET DALTON - INSURANCE CERTIFICATE11/19/2001 13.35 9702672� CaVUNI-
HGUHIJ �CK 1 It-IUA I E OF LIABILITY I
PRODUCER (970)223-0924 FAX
(970)223-7438 ONLYAi Mo
Community First insurance Agencies, Inc.
1075 W HorsetOoth Rd, Ste S00 HOLDER TI
ALTER THE
Fort Collins, CO 80526
-FHL ud"on rLumning & Heating wsuRERA
5418 E. Hwy. 14 INSURERB
Fort Collins, CO 80S24 INSURERc
INSURER D
NSURER E
IP:FC
-IRS[TT PAGE 01/01
'URAIVCE DATE (MM II-n
7E18'KW:: 11/19/2001
FERTIF CATS DOES NOT AMEND, 5XTEND OR
IERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
TI IE POLICIES OF INSURANCE LISTED BELOW HAVE 6EEN ISSUED Tp 7HE INSURED NAMED ABpVE FOR 7HE POLIO PERIOD INDICATE[] NOTWITPISTANpING
ANV REQUIREMENT TERM OR CONDI RIXJ OF ANV CONTRACTOR
OTHER DOCUMENT WITH RESPECT TD WHION THIS
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
CERTIFICATE MAYBE IETH
Oft
HEREIN IS SUBJECT TO ALL THE TERMS
POLICIES AGGRECg7E LIMITS SHOWIJ MAY HAVE BEEN REDUCED ay pglp
EXCLUSIONS AND CONDITIONS
OF SUCH
CLAIMS
IN, TYPK OF INSURANCE LfR POLICY NUMBER DATE (MMlDpry'YI PATE (MM/pOAry)
LIMITS
GENERAL LIABILITY CPA75361400007 OS/18/20p1 OS/18/2002
EACH OCCURRENCE
X COMMERCIAL GENERALLIABILRY
$ 1 000,000
CLAIMS MADE a OCCUR
FIREDAMAGE (Any one Pro)
$ 100,000
A
MED EXP (Any on& pbsor)
$ 5,000
PERSONAL A ADV INJURY
5 1 000 00
L AGGREGATE LIMIT APPLIES PER
3ENERALAO REGATE
$ 2 QQQ on(]
000
POLICY LOC
PRODUCTS COMP/OP AGG
g z 000 QQQ
JEGT
AUTOMOBILE
LIABILITY
ANY AUTO
1:0MBNEO SINGLE LIMIT
)EaacGaentl
S
ALL OWNED AUTOS
ILY
(Per perF3prPer INJURY
son)
S
SGHEDULEDAUTOS
HIRED AUTOS
I LY
[BODINJURY
(Per LY N
$
NON OWNED AUTOS
PROPERTY DAMAGE
$
(Per soAdeM)
GARAGE LIABILITY
AUTO ONLY • EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
S
AUTO ONLY AGO
$
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR ❑ CLAIMS MADE
AGGREGATE
$
S
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
]536141QQ
05/18/20Q1
Q5/1$/2QD2
TORY UMIT9 ER
r.MPLOYCRS' LIABRJTY
EL EACH ACCIDENT
$ 10000
A
EL DISEASE. EA EMPLOYE
t 10000
DISEASE - POLICY LIMIT
$ 50000
i OTHEREL
IUrS,RIPT10NOFOPERATIONSILOCATIONSNEHICLESIEXCLUSION ADOEDBYENDOR EMENDSPBCIALEROVISIONS
FI' I-r-WA1F NN f1CC .__...._.... -._- ____... ..�........ .�.
City of Fort Collins
Purchasing Department
Jdll
256 W. Mountain Ave.
P O. Box 580
Fort Collins, CO 80522-OSSO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANGELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIN
1._Q_ DAYS WRITTEN NOTICETO THECERTIFICATE HOLDER NAMEOTOTHE LEFT
HUT FAILURE, TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPO➢ITHE COMPANY, ITS AGENTS OR REPRESENTATIVES,