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Home My WebLink AboutNUSZER KOPATZ - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID DB DATE(MWODNYYY) NUSZE-1 12 06 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Banks Insurance Agency, Inc HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 711 - 12th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Golden CO 80401 Phone 303-279-7002 Fax 303-277-0798 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA The Hartford INSURERB Auto -Owners Insurance Company 18988 INSURERC NuSzer KOpatsr, Inc 1117 Cherokee Street Denver CO 80204 INSURER INSURER F COVERAGES THE POLICIES OF INSURANCE LIST ED 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 IN LTR FETUTT-- NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE UNINEI POLICY EXPIRATION DATE MM/DDIYY LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL II ABILITY CLAIMSMADE IX IOCCUR Bll5lness L1ak, 34SRAUR6408 12/15/07 12/15/0EI EACH OCCURRENCE s2,000,000 PREMISES Ea occmence) 5300,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY s2,000,000 GENERAL AGGREGATE s4,000,000 GEN L ACGREGATE LIMITAPPLIES PER POLICY JECOT LOC PRODUCTS COMPIOP AGG $4,000,000 A A A AUTOMOBILE LIABILITY ANY AUTO AI L OWNED AUTOS St HOBBLED AUTOS HIRED AUTOS Nora OWNED AUTOS 46811510 46811510 46811510 05/19/07 05/19/07 05/19/07 05/19/08 05/19/08 O5/19/08 COMBINED SINGLE LIMIT (Ea accident) $1, 000,000 BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTOONLV FAACCIDENT $ OTHERTHAN EA ACC AUTO ONLY AGG S $ A EXCESSIUMBRELLA LIABILITY X OCCUR 0CLAIMSMADE DEDUCTIBLE X RETENTION $10,000 34SBAUH6408 12/15/00 12/15/08 EACH OCCURRENCE s,1,000,000 AGGREGATE $1,000,000 $ $ A _ WORKERS COMPENSATION AND EMPLOYERS I]ABILITY ANY PROPRIETORMARTNEWEXECUTIVE OFFICFR/MEMBER EXCLUDED' I( es deonna, wde, SP ECIAL PROVISIONS below 34WECTA5447 12/15/07 12/15/08 TORV LIMITS X ER EL EACHACCIOENT $1,000,000 EL DISEASE - EA EMPLOYE $1,000, 000 EL DISEASE POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Exept 10 days for non payment Certificate holder >_s named as additional insured � RVLIICR 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 DO SO SHALL G1ty Of Ft COI 11n8 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE I NSURER, ITS AGENTS OR Purchasing PO Box 580 REPRESENTATIVES Ft C011ans CO 80522 AUTHORED gEPRES51TAT1YF il _ w