HomeMy WebLinkAbout124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDDIYYYY)
TOPGU-1 10 30 07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown S Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Fort Collins CO 80522-2226 ,
Phone 970-482-7747 Fax 970-484-4165 INSURERS AFFORDING COVERAGE NAIC IF
INSURED INSURER Pinnacol Pissurance
Top Gun Pressure Washing Inc.
50D W 67th St
Loveland CO 80538
COVERAGES
INSURERS 'fountavn state. Iedemnvty Co
INSURER C
INSURER D
INSURER E
10177
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
I POLICY -EFFECTIVE LICYES(PUR—ATION
LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MMOOM) DATE IIIIII /YY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
C
X COMMERCIAL GENERAL LIABILITY
CPP0116411
10/31/07
10/31/08
PREMISS Eaarence
f 50,000
CLAIMS MADE X� OCCUR
MED EXP (Any one person)
$ 1 , OOO
PERSONAL& ADV INJURY
$1,000,000
X Bklt Addrl Insd
Bklt WOS
GENERAL AGGREGATE
f 2 , 000, 000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS-COMPIOP AGG
$2,000,000
POLICY X PRO n LOC
JECT
B
AUTOMOBILE
LIABILITY
ANY AUTO
BAP0116411
10/31/07
10/31/08
COMBINED SINGLE LIMIT
(Ea accident)
$1 000,000
r
X
BODILY INJURY
(PIN parsonl
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accdent)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$ 1000000
D
X OCCUR CLAIMSMADE
UMB0116411
10/31/07
10/31/08
AGGREGATE
$ 1000000
S
$
DEDUCTIBLE
$
X RETENTION $ 10000
A
WORKERS COMPENSATION AND
ANVPROPRIETORIPARTNCUTIVE EMPLOYERS LIABILITY
OFFICEWMEMBER EXCLUDED'
4031609
07/01/07
07/01/08
I X TORYIIMHS ET-1
_
EL EACH ACCIDENT
$ 1000000
EL DISEASE - EA EMPLOYEE
$ lOOO OOO
ffigs describe under
SPECIAL PROVISIONS below
E L DISEASE - POLICY LIMIT
I $ 1000000
OTHER
B
Equipment Floater
0116411
10/31/07
10/31/08
Leased/Re 100,000
Ded $500
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Painting Exterior (Pressure Washing)RE Bid #5827 Parking Structures Snow
Removal
CERTIFICATE HOLDER CANCELLATION
FTCPURC
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATICt
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins
NOTICE TO THE CERTIFICATE HOLDE R NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing Department
215 N Mason
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522
REPRESENTATIVES
AtfiMDR12ED REPRESENTATIVE—,--.,\.
ACORD 25 (2001108) Y3 ACORD CORPORATION 1988