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Home My WebLink About133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (3)rnlnRAnn-Rw INgijDANfF FRv 1G7mR71'11 I— 17 WAD 311111/Ano A.GQRQ CERTIFICATE OF LIABILITY INSURANCE pnrE(mM/DOnvv l PRODUCER (970)223_0924 FAX (970)267-2231 Colorado BW Insurance Agency, Inc. of/v/zoos THIS CERTIFICATE IS ISSUED A$ A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1075 W Horsetooth Rd, Ste 106 Fort Collins, CO 80526 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL # INSURED An ante Protection Lt PO Box 2401 - Ft Collins, CO S0522 V$UReRA Everest Indemnity Insurance Co 12096 INSURERS: Pinnacol Assurance INSURER C. INSURER D: INSURER E: sria:a_Tn�:l 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 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 SHOWMI MAY HAVE BEEN REDUCED BY PAID CLAIMS. IITR umNSR Auvt TYPEOF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY SlGL000975071 07/13/2007 07/13/2008 EACH OCCURRENCE S 11000.00 X COMMERCIAL GENERAL LIABILITY DAMAGE{O RENTED (5� mme� CSL $ 50,00 CLAIMS MADE MOCCUR LIED EXP(Ary.re parmn) $ 5,000 A PERSONAL B AOV INJURY S 1, 000,00p GENERALAGGREGATE $ 2,000,00C GENT. AGGREGATE LIMITAPPLIES PER PRODUCTS, COMPIOP AGO $ 1,000Og POLICY JFE LOC AUTOMOBI4E LIADILTY COMBINED SINGLE LIMIT $ ANY AUTO (Ea aopioent) ALL OWNED AUTOS BODILY$ SCHEDULED AUTOS (PerrPersul) paraa» HIRED AUTOS BODILY 114JURY $ NON-O NCO AUTOS (Peramidoml PROPERTY DAMAGE $ (Per 900Itla61) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ AUTO OTHGANY HAN EA ACC $ AUTO ON AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE - $ RETENTION 5 $ WORKERS COMPENSATION AND 4D64145 61/01/2008 01/01/2009 X WC $TATu- EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifycz, 6¢ of evrier E.L. DISEASE - EA EMPLOYEE $ 11000.000 E.L. DISEASE -POLICY LIMIT S 1 000 000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROV15IONS he certificate holder is named as an Additional Insured with respect to the ongoing operations f the Named Insured on the General Liability only, City of Fort Collins Finance & Purchasing Department Attn: Christine Jarvis 215 N. Mason St., Second Floor PO Box 580 Fort Collins, CO 80522-0580 ......,.. ... ........ ...... Cnv. »,_cony SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE 155UINQ INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL $VCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY AUTHORIZED 14H4 VRU I.VRYVKAI IVN TBBy nnl npAnn—RW INSIIpnNCF Fa, 107n9R79971 1— 17 9nno in Foam Dnnomno IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endoisement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(9). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. COLORADO-BW INSURANCE Fax 19702872231 Jan 17 200B 10:58am P003/003 POLICY NUMBER: 51GL000975-071 COMMERCIAL GENERAL. LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: BLANKET WHERE REQUIRED BY CONTRACT to no entry appears anove, mtoimation required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. _ B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or. on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 0 ISO Properties, Inc., 2000 Page 1 of 1 ❑