HomeMy WebLinkAboutR T INSTALLATIONS - INSURANCE CERTIFICATE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID T DATE(MMIDDIYYYY)
RTINS-1 04 05 05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Henderson Insurance Agency Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7395 E Orchard Rd -Ste A100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greenwood Village CO 80111
Phone:303-706-1000 Fax:303-799-1228
INSURED
R T Installations Inc.
1649 E. 83rd Drive
Denver CO 80229
UUVCKAl5C3
INSURERS AFFORDING COVERAGE I NAIC #
INSURERA: Kid —Century Insurance A
INSURER B:
INSURER C:
INSURER D:
INSURER E:
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.
INSK
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIUD
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 O00,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
04594-74-39
04/03/05
04/03/06
PREMISES Eaocarence
$ 100 000
MED EXP (Any one person)
$ 5 , 0 00
$ Per Project Aggre
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000 000
POLICY ][ E� LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
04594-74-39
04/03/05
04/03/06
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 OOO OOO
r
BODILYINJURY
(Perrper person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
][
HIREDAUTOS
NON -OWNED AUTOS
$
BODILY INJURY
(Per accident)
$
R
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$NY
A AUTO
OTHER THAN F-I+ACC
$
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
OCCUR F-ICLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
A
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
S ECIAL PROVISIONS below yes describe under
SP
A0408-68-59
07 /01 /O4
07/01/05
TORY LIMITS ER
E.L. EACH ACCIDENT
$ SOOOOO
E.L. DISEASE - EA EMPLOYE
$ 100000
E.L. DISEASE - POLICY LIMIT
$500000
OTHER
A
Trans/Motor Truck
04594-42-30
07/09/05
04/03/06
LIABILITY 50,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is listed as additional insured with respect to General
Liability.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
John Stephen
117 N. Mason Street
PO Box 580
Fort Collins CO 80522
CITYOFF 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
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
ACORD 25 (2001108)
0 ACORD CORPORATION 19RR