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HomeMy WebLinkAbout212187 WEATHERSURE SYSTEMS INC - INSURANCE CERTIFICATEACORD„ CERTIFICATE OF LIABILITY INSURANCE 10 16/zoo7 PRODUCER (303)824-6600, Fax(303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Suite 800 Denver CO 802093804 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER Continental Western Grou Weather Sure Systems, Inc INSURER Pinnacol Assurance 3333 S Platte River Drive wsURERC (Englewood CO 801102140 INSURER 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 Cl-RTIFICATE 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 INSR ADD L TYPE DF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDNY LIMITS GENERAL LIABILITY CWP2577625 07/01/2007 07/01/2008 EACH OCCURRENCE 8 11 000, 000 PAMAGE REMSE TORENTED $ lOO, OOO X COMMERCIAL GENERAL LIABILITY MED EXP An one arson $ 5,000 A CLAIMS MADE OCCUR PERSONAL &ADV INJURY S 11000, 000 _ GENERAL AGGREGATE 8 2, 000, 000 _ GENLAGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $ 2,000, 000 POLICY X PRO ECT LOU AUTOMOBILE X LIABILITY ANYAUTO CWP2577625 07/01/2007 07/01/2008 OOMBINED SINGLE LIMIT (Ed accident) $ 1, 000, 000 130DILY INJURY I Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS X 130DILY INJURY IPeramdenq $ HIRED AUTOS NON OWNED AUTOS X X PROPERTY DAMAGE IPeracaden0 $ $1,000 Comp Ded X $1,000 Coll Ded GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHER THAN EA A $ ANY AUTO $ AUTOONLY AGO EXCESSIUMBRELLA LIABILITY CU2581677 07/01/2007 07/01/2008 -A H C RREN $ 10,000, 000 A GRE ATE $ 10,000, 000 X OCCUR CUUMS MADE $ $ -A DEDUCTIBLE Is X RETENTION 10, 000 B WORKERS COMPENSATION AND 3471401 07/01/2007 07/01/2008 4 WC STATT OTH EL EACH ARY-LCCIDENT $ 11000. 000 EMPLOYERS LIABILITY ANY PROP R IETORIPARTN E RIEX EC UTI VI_ Ir L DISEASE EA EMPLOYEE $ 1, 000' 000 OFFICER/MEMBER EXCLUDED'/ EL DISEASE POLICYLIMIT $ 1,000, 000 If yes describe under SPECIAL PROVISIONS below C OTHER Inland Marine Mz198475064 07/01/2007 07/01/2008 $100,000 Installation/On Site $150,000 Leased/Rented Equip $1,000 Deductible DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re 6064 Civic Center S Old Town Parking Garage City of Port Collins is named as Additional Insured as regards General Liability per attached form CC2033 07/04 By Colorado state law, 10-day notice of cancellation applies for non-payment of premium --City of Fort Collins Attn• James B. O'Neill II, CPPO FNIGP 215 N Mason St, 2nd Floor P. 0. Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO 00 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORIZED REPRESENTATIVE _ Rosemary ACORD 25 (2001/08) © ACORD CORPORATION 1988 INCr17l no.. puns ' �, I 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 msurer(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 (2001108) Page 2 of 2 INS025 foroe> oaa