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HomeMy WebLinkAboutFERRIE FRANZMANN CARTER METRON INC - INSURANCE CERTIFICATEIBfl, W,Pl, wi S't "t m - A CORD. `-_,C�ERT'IF�,CANE'OF '1 , a n +�n A9 it 'N,K,{G,i '�!`x"R '"''TR"`Ai LI�f;BILI�Y,'INSiJRA�T,C,E.' rzn,n inn-.,� unx�mv, i,k 4,,+_,_' iP' n�h'{}ohl�m`i'"!J;}'1V -i ,Y h�";'d'fi' „`' 41,t ,i''eG ht ti DATE(MM/DD/YYYY) 11 os zoo? u dw na uwvc +mnu, � 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