HomeMy WebLinkAboutFERRIE FRANZMANN CARTER METRON INC - INSURANCE CERTIFICATEIBfl, W,Pl, wi S't "t m -
A CORD. `-_,C�ERT'IF�,CANE'OF
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PRODUCER
Risk Services, Inc of Colorado
4100 East Mississippi Avenue
Sui te1500
Denver Co 80246 USA
exone 303 758-7688 FAX- 303 758-9458
THIS CUR IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERI (FICA FE HOLDER THIS
CERTIFICATE DOES NOT AMEND, EX7 END OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AN FORDIN6 COVERAGE
NAIC#
INSURED
Ferrle,,Franzmann & Carter, LLC
Metron, Inc -
1505'w Third Avenue
Denver Co 80223 USA
INSURER Valley Forge Insurance Co
20508
INSURER Lexington Insurance Company419437dba
INSURERC
INSIIRFR D
INSURER E
'COVERAGES;LM! __'t' +o'S`tt, aIi`-E,"- erna""!'INi5k
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR HIE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH IHIS CERTIFICATE MAYBE 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
INSR
LTR
ABUT
INSRU
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MWDD\YV)
POLICY EXPIRATION
DATE(MNADD\YY)
LIMITS
B
GFNFRAL LIABII ITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
0632628
General Liability incluc
10/01/07
10/01/08
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
M.
PROMISES M. one
$50, 000
PALMENE person
one person)
PP RSONAL&ADV INJURY
$1,000,000
❑
GENERAL AGGREGATE
$2,000,000
GENL AGGREGATE LIMI T APPLIES PER
O E POLICY ❑ PRO- ❑ IOC
CT
YRODUCTS- COMP/OP AGG
$2, 000, 000
A
AUIOMOBILELLABILITY
X
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
2093731086
10/01/07
10/01/08
COMBINLD SINGLE LIMIT
Mat accident)
$1,000,000
BODILY INJURY
( Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Peracc,dcnt)
GARAGE LIABILITY
e ANY AUTO
AUTOONLY EAACCIOLNT
OTHER THAN EA ACC
AUTO ONLY
AEG
FXCESS iMMBRELLA LIA BI LILY
❑ OCCUR ❑ CLAIMS MADE
eDEDUCTIBLE
RETENTION
LACH OCCURRENCE
AGGREGATE
A
WORRERSCOMYLNSPIIONAND
EMPI OVk RS 1 IABILITY
ANY PROPRIETOR/ YARTNCR/EXECUTIVE
DFFIGER/MEMBERf XCLUDLDI
If) es dexnbe under SPECIAL PROVISIONS
below
2093731072
Workers' Compensation
10 O1 07
X
we STATU-
TOP,IIMII'
oTH-
ER
EL EACH ACCIDENT
$1,000,000
EI DISEASE EA BMPI OYES
$1,000,000
FI DISCASLPOLICY LIMIT
$1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDURSEMENT/SPFCIAL PROVISIONS
City Of Fort Collins is named as an Additional Insured as respects General Liability as required by written
contract but limited to the operations of the Insured under said contract, and always sub? ect to the policy terms,
conditions and exclusions Cancellation Provision shown herein is subject to shorter or longer time periods
CERTIFICATE'! :6�'mY,ury; `$=1�`"„1,'"ki tsi'„ ,".°9;t'„t;ia°lea,;;;�r�CANCELL"'A-T70N=7��;;'''zt,ti�d li,lrlt6EFr:llixi`nr'n;'„i'�,11 �:"Slv `,; 1iShii:'rK„`w''sa;'"% `' `si'i;
City Of Fort Collins SI
Attn. joh❑ Stephen
413 South Bryan 30
Fort Collins CO 80521 USA BUT
IOULD ANY OF THE ABOVE OLS(CBIDED POLICIES BIT CANCFLLLD BEFORE THE EYYIRA II ON
DAIr OILREOF TILE ISSUING INSURI R WIL L LNDEAVOR TO MAII
DAYS WRITTEN NOTICE TO THE CERTIFICATI IIOIDIBNAMEDTOTHELFIr
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER IrSApFNTSORRFPRrSENTAIIVLS
AUTHORIZED REPRFSLNTATIVE
.ACORD 25'2001/08to n,a'i,?.'P'huw�awry^^2 b1",l„F r;{EdlVu,tat,I,ii+„r,5ugt,}hl�x�.=„q¢,�,id,�nlrt"',';�'i!I�I,Iti I,E,llg�. ,gym ,,, _-- t,Tip,un„uu}"'ACORDtCO'RPORAT ION=19R8
Attachment to ACORD Certificate for Ferree, Franzmann & Carter, LLC
The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the msuret(s) This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy
INSURED
Ferree, Franzmann & Carter, LTC
dba Metron, Inc
1S05 W Third Avenue
Denver CO 90223 USA
ADDITIONAL POLICIES
If a policy below does nc
INSURER
"M11. N
INSURER
include limit information, refer to the correspondma policy on the
certificate form for policy limits
INSR
LIR
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY DESCRIPr ION
POLICY
EFFECTIVE
DATE
POLICY
EXPIRATION
DATE
LLNITS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSFMI NT/SPECIAL PROVISIONS
depending on the Tun sdiction of, and reason for, the cancellation
Certificate No 570025940450