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HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - 2004 INSURANCEAcow. CERTIFICATE OF LIABILITY INSURANCE, OP ID D W DATE(MM/DYY) LT2-1 02/11/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE INSURED INSURER A. UNITED FIRE AND CASUALTY CO INSURERB: Pinnacol Assurance Goltz Asphalt Comp areyY SU INSURERG 3466 E. Coun Road 20-C INRERD. Loveland CO 9531 COVERAGES 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. LR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD YY DATE MMEX /OD/YY RATION LIMITS — —� A GENERAL LIABILITY X' COMMERCIALGENERAL UAMUTY I CLAIMS MADE OCCUR Ir 60075813 I 02/02/04 02/02/05 EACH OCCURRENCE $1,000,000 FIREDAMAGE (My one nrel 115100,000 MED EXP(Any one person) $5,000 PERSONAL S ADV INJURY $ 1,000,000 I� GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY r PRO- ECT OC PRODUCTS-COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY A ANY AUTO ALL OWNED AUTOS �X] SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS 60075813 02/02/04 02/02/05 COMBINED (Ea accident) SINGLE LIMIT accident) $ 1� 000/ 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY, EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY. AGG $ $ jEXCESS LIABILITY r JI OCCUR �� CLAIMS MADE DEDUCTIBLE RETENTION $ I EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND B EMPLOYERS' LIABILITY 4055471 04/01/03 04/01/04 THI X TORVLIMIT$ ER E.L.EACH ACCIDENT $500000 E.L.DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE -POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I N I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION FTCCITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF FORT COLLINS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN WATER UTILITIES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ATTN: OPAL PO BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FORT COLLINS CO 80522-0580 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AWKU 25-5 (7/97) ©ACORD CORPORATION 1988