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Home My WebLink AboutROUSELLE ENTERPRISES - INSURANCE CERTIFICATE:x . ........ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Pinnacol Assurance CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE 7501 E Lowry Blvd AFFORDED BY THE POLICIES BELOW. DENVER CO 80230-7006 COMPANIES AFFORDING COVERAGE COMPANY A Pinnacol Assurance �OMPANY INSURED B ROUSSELLE ENTERPRISES INC 1508 FALLS COURT COMPANY LOVELAND CO 80538 C COMPANY HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW BE NOTWITHSTANDING ANY REQUIREMENT, TERM AND CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH THIS CERTIFICATE MAY ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.CO TYPE OF INSURANCE POLICY NUMBER POLICY EF?E=E POLICYENMAUON LIMIT'SLTR GENERAL AGGREGATE GENERAL LIABILTTY PRODUCTS COMPIOPAGG COMMERCW. GENERAL MABH,1TY PERSONAL & ArY' INJURY CLAIMS MADE OCCUR [] EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT ME DAMAGE I . f.) AS _HEIEILL 2L AUTOMOBILE LIABILITY COMBINED SINGLE LIMTT ANY AUTO BODMY INJURY ALL OWNED AUTOS SCHEDULED AUTOS BODILY MURY HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE AUTO ONLY EA ACCU)ENT GARAGE LIABILTTY OTHER MAN AUTO ONLY: ANY AUTO I EACH ACCIDENT — AGGREGATE EACH OCCURRENCE EXCESS LIABILITY AGGREGATE UMBRELLA FORM OTHER THAN UMBRELLA FORM Xi -1 STAW Lj OTHER WORKERS COMPENSATION AND TORY LIMITS A EMPLOYERS' LIABMTTY 2318952 10/0112004 10/01/2005 EL EACH ACCUDENT $100,000 EL DISEASE POLICY LINUT $500,000 THE PROPRIEPORIPARTNERS' INCL $100.000 EXECUME OFFICERS ARE EXCL ELDISEASE �EMPLOYEE OTHER :1 DMCRIMONOYOPER4nOMlLOCATIONSM1'EHICLE41SPECL nEMS SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND owNERSHEP, COVERAGE DETAIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 794691 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL CITY OF FT COLLINS ATTN: PURCHASING DEPT 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, JAMES B O'NEILL 11. CPP0, FNIGP ATTN: PHIL BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR PO BOX 580 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. FORT COLLINS CO 80522 AUTHORIZED REPRESENTATIVE Nichole Valdez Underwriter CERTIFICATE HOLDER COPY CITY OF FT COLLINS ATTN: PURCHASING DEPT JAMES B O'NEILL II, CPPO, FNIGP ATTN: PHIL PO BOX 580 FORT COLLINS CO 80522 POLICY NUMBER: 2318952 BUSINESS LOCATION: KENNETH ROUSSELLE DBA ROUSSELLE VAULT CO CLASSIFICATION OF OPERATION CLASS DESCRIPTION COVERAGE COVERAGE RATING EFFECTIVE EXPIRES TYPE 403405 BURIAL VAULTS MFG/INSTALL 10/01/2004 10/01/2005 EM