HomeMy WebLinkAboutVENDING SERVICES OF COLORADO - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE ,SOP ID ,DP� DAT„M`///DDp n�)
Brown S Brown Inc
125 S Howes, 5th Floor
P O Box 2226
Fort Collins CO 80522-2226
Phone:970-482-7747 Fax.970-484-4165
Vending Services of Colorado
5442 Basin q Dr
Loveland CO 801538
COVERAGES
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE 11, NAIC #
INSURER Pinn_acol Assurance _
INSURER B ^Amgr>can Casual Ly of Reading_C
r INSURER C _Continental Ca9udltY
INSURER IJ
INSURER Lo 1
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
INSR-ADD4 _T_ POLICY NUMBER
LTR INSRD TYPE OF INSURANCE
POLICY EFFECTIVE iPOLICYEXPIRATION'i LIMITS
DATE (MM/DDIYY) DATE IMM/DDIYY
GENERAL LIABILITY
EACH OCCURRENCE
$ 1000000
r
X I COMMERCIAL GENERAL LIABILITY B1035108151
DAMAGETO RENTED
PREMISES(Ea occurence)_
_
$ 300000
F] CLAIMS MADE I_IOCCUR
NEEXP(Any one person)
$10000
B
�Business Owner,&
12/19/07
1 12/19/013 PERSONAL& ADV INJURY
$
GENERALAGGREGATE
$ 2000000
GENT AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG
$
POLACY71 RO- �I LOC
AUTOMOBILE LIABILITY
_
C I X I ANY AUTO
I B1035108165
i 12/19/07 i 12/19/OEI
COMBINED SINGLE LIMIT
I (Ea accident)I
$1 000,000
r _ -
I 1 ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
�
(Per person)
J___
�B_ODILYINJURY
HIREDAUTOS
{
NON OWNED AUTOS
(Per acmtlent)
$
PROPERTV DAMAGE
-- _
$
I
(Per eapdent)
GARAGE LIABILITY
1 AUTO ONLY ACCIDENT
$
ANY AUTO
EA ACC
$
—T
OTHERTHAN
AUTO ONLY AGG
$
EXCESSIU14BRELLA LIABILITY
EACH OCCURRENCE
OCCUR CLAIMS N440E
LAG REGATE
$
-�
_
DEDUCTIBLE
—�r$
_
_F RETENTION $
WORKERS COMPENSATION AND
XTORY LIMIT_SI
EMPLOYERS' LIABILITY
A 4104021
ANY PROPRIPTORPARTNEREXECUTIVE
10/01/07
I, 10/01/08
-ER__
4 EL _CH ACCIDENT
J
—
$ 100000
OFFICEWMEMBER EXCLUDED?
N describe under
I
E E L DISEASE - EA EMPLOYEE
----- —
$ 100000
yes
SPECIAL PROVISIONS below
EL DISEASE -POLICY LIMIT
I $ 500000
OTHER
I
j PROPERTY
� I
100000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Vending Service - Food 6 Soft Drinks
CITYFI O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI01
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 N Mason St
Fort Collins CO 80521 REPRESENTATIVES
1988