HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCE CERTIFICATE04/21/2004 15:01 FLOOD AND PETERSON + 96631566 NO.957 002
ACORD- CERTIFICATE OF LIABILITY INSURANCE
4121, 04
PRODUCER
Flood B Paterson Insurance Inc
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT
ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFICATE
ON
4821 Wheaton Drive
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND
R
P 0 Box 270370
ALTER THE COVERAGE AFFORDED BY THE POLICIES BEIL
FOR Collins, CO $0527
INSURERS AFFORDING COVERAGE
NAI
i
R/flMaD
G.L. !toff Co.
INSURERA: Travelers Insurance
Nmmemw Pinnecol Assurance
181s W 12th Street
NIBURER c Fireman's Fund Insurance, Co.
P.O. BOX T448
INSURER°:
Loveland, CO 80537
INSURER E:
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THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHST
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHCH THIS CERTIFICATE MAY BE ISSUED OF
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF S
POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
G
CH
km
TYPE OFINBURANCE
POLICY NUALICR
FIBAWIMUM
11MUZZW
01/01/05
Lam
EACH OCCURRENCE
$1 000
A
DISJ MLIABILITY
COMMERCIAL GENERAL UABILRY
CLAIMS MADE ❑X OCCUR
X PD Ded:2.500
DTC0324D83647ILO4
01/01/04
DAMAGrTORRAIM>t300
O
0
MED W (Any am pow)
05.000.
PERSONAL & ADV INJURY
GENERAL AGGREW7E
GBNV AGGREGATE LNAIT APPLIES PGR:
POLICY X Mcar LoDA
PRoojcTa.COMPIOPAGG
js20DD
AGroMCGILEUAaBrrY
ANY AUTO
ALL OWNrD AUTOS
SCHEDULEDAUTOS
HIRrP AUTOS
NON-0NE WPAUlo3
OTS10784P817111L04
01/01/04
01101/08X
NEDSINGLELMT
Do
ODDLYINJURY
(PrprrAon)
B
.
X
BODILY INRI)
�rW xrM)
X
RROPERYDAMAGE
PROPERTY DAMAGE
S
GARAeaUAMILITY
ANYAUm
..
AUTO ONLY. EA ACCIDENT
i
OTHIBR TlIAN FAACC
AUTO ONLY: AGO
A
EI(CiaMJLb11ELLAWBILITY
CLAW MADE
LDEDUCTIBLE
OOD
DTSMCIJP324DO1364TIL
01/01/04
01/01/05
EACH OCCURRENCE
AGGREGATE
B2 000
i
I
B
WORNERSCOMPENSATIONANb
AAENNMPLLpO�pYOoEppRppS' IIAe�pILITY
OFY M.IT EAXO�LIIOyPDTEPPOU NE
B�
bokw
2242690
01/01104
01/01/05
X
E.L. EACH ACCIDENT
$500
E.L.lNBI•118E-1JIEMPLOYE
6OO
E.L. DISEASE • POLICY LIMIT
400
C
OTWR
Builder's Risk
MXIS8470488
01/01104
01l01/05
$1,500,000 Limit
$ 1,000 Deductible
DEBCRIPTONOFOPERATIdbILOCATION!IVEHMMIE)MLUIMSAOMeYoDOMawwriaPaciALFROVI me
RE: service Agreement for Epia Ice Rink Renovation
City of Fort Collins, Its offloers, agent and employees are named as
additional Insured, but only as respects liability arising out of work
performed by the named insured (Excluding Workers' Compensation).
SMDULD ANY OF TNB ADM DESCRIBED POLIGHs sI CANCILM 11MR1 TH
1 KIM
A710N
CRY of Fort Collins
DATE THERMW, THE MMNG INSURER W" ENDEAVOR TO MA& —39_ PA
T, WN
TVN
John Stephen, CPPO
NOTIMTO*0ONKTI ICAUN=MMAMaDTOTHELE".BvrFAILURETo
eo SO
ALL
Purchasing Division
IMPOSE NO OBLIGATION GR UAaaITY OFANY WIND UPON THR INSUR K rta
PO Box 680
"Py
Fort Collins, CO 80M.0580
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