HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATEACORD NEWEL-1 OS 06 03 CERTIFICATE OF LIABILITY INSURANCE D DATE(/06/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency GR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
3459 W 20th Street Suite 224
Greeley CO 80634
Phone:970-356-1133 Fax:970-356-4088
INSURED
Newell Bros., LLC
2121 1st Avenue, Suite B
Greeley CO 80631
INSURERS AFFORDING COVERAGE NAIC #
INSURERA: Bituminous Insurance Co
INSURER B: Pinnacol Assurance
INSURER C:
INSURER D:
INSURER E:
Llvvc AVCJ
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.
-EXPIRATION
IN LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYM/DD/YY EFFECTIVE
PDATEY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
PREMISES(Eaoccurence)
$100,000
A
X COMMERCIAL GENERAL LIABILITY
CLP3149272
09/17/02
09/17/03
MED EXP (Any one person)
$ 5 , 0 0 0
CLAIMS MADE I .. OCCUR
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY PRO Ll LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
CAP3149273
09/17/02
09/17/03
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
N/A
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
N/A
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
X TORY LIMITS ER
F,I EACH ACCIDFNT
$ 100, 000
B
EMPLOYERS'LIABILITY
ANY PROPRIETOHIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
3454167
05/01/03
05/01/04
E.L. DISEASE - EA EMPLOYEE
$ 100 , 000
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
1 $500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED UNDER THE GENERAL
LIABILITY POLICY, BUT ONLY WITH RESPECTS TO LIABILITY ARISING OUT OF THE
INSUREDS OPERATIONS. FAX: 970-221-6707
FTCOLLI
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
City of F t . Collins
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Attn: Jan
P.O. BOX 580
REPRESENT
AUTHORI REPRESEN pTIVE
Ft. Collins, CO 80522
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