HomeMy WebLinkAboutOFT ENTERPRISES - INSURANCE CERTIFICATECERTIFICATE OF INSURANCE
ThI at ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
STATF FARM ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario
❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida
INSURANCE ❑ STATE FARM LLOYDS, Dallas, Texas
in owing policyholder for the coverages indicated below:
Name of policyholder
Address of policyholder
Location of operations
Description of operations
OFT ENTERPRISES, INC.
719 S. EDINBURGH DRIVE LOVELAND, COLORADO 80537
COLORADO
CONTRACTOR
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid
claims.
POLICY PERIOD
LIMITS OF LIABILITY
POLICY NUMBER
TYPE OF INSURANCE
Effective Data ; Expiration Date
(at beginning of policy period)
96GW35598F
Comprehensive 09/08/03 09/08/04
BODILY INJURY AND
- Business Liability ------------------
PROPERTY DAMAGE
--- :-----------------------
This insurance includes:
-----------------
® Products - Completed Operations
® Contractual Liability
® Underground Hazard Coverage
Each Occurrence $ 500, 000
® Personal Injury
® Advertising Injury
General Aggregate $ 11000,000
❑ Explosion Hazard Coverage
❑ Collapse Hazard Coverage
Products — Completed $ 1,000,000
❑
Operations Aggregate
El
POLICY PERIOD
BODILY INJURY AND PROPERTY DAMAGE
EXCESS LIABILITY
Effective Date ExplivAlon Date
(Combined Single Limit)
❑ Umbrella
Each Occurrence $
❑ Other
Aggregate $
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
and Employers Liability
Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
Effective Date ; Expiration Dais
LIMITS OF LIABILITY
(at beginning of policy period)
THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN.
If any of the described policies are canceled before
its expiration date, State Farm will try to mail a
written notice to the certificate holder
Name and Address of Certificate Holder 30 days before cancellation. If however, we fail to
mail such notice, no obligation or liability will be
City of Fort Collins imposed on State Farm or its agents or
Po Box 580
Fort Collins, Co. 80522
558-994 a.3 04-1999 Printed in U.S.A.
repress tives.�/
Signature of Authorized Representative
DENNIS L. BREITBART 10/07/03
Title a 44 Dale
Agent's Code Slam
Silver Scroll
1997 Designee
D. BREITBARTH 1883 Z
NORTHERN COLORADO F625�
�O F625