HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (16)DEC 4 WA- 1iA34 — rAWAHNITV FIRST INS
• CORD, CERTIFICATE OF LIABILITY INSURANCE IuO, 773
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...-
12/09/2004
PRODUCER (970)223-0924 FAX (970) 2157-2231
Community First Insurance, Inc.
1075 W Horsetooth Rd, Ste 100
Fort Collins, CO 80526
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSuREe Anlance Protection Ltd
PO BOX 2401
Ft Collins, CO 90522
INSURERA Everest Indemnity/All Risks Ltd
INSURERS: Pinnacol Assurance
INSURERC;
INSURER D:
INSURER E'
:OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTTHSTANOINI
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,
NS
DD'
TYPE OF INSURANCE
POLICYNUMSER
POLICY EFFECTAfE
DATE IM
POL101' PIRA N
07/13/2005
LIMAS
GENERAL UADR Y
SICL000975041
07/13/2004
EACHOCCURRENCE
a 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAMS MADE � OCCUR
DAMAGE TO RENTED
s SO 00
MED EXP (Any OM pemn)
S S'000l
A
PERSONAL &ADV INJURY
a 11000,000
GENERAL AGGREGATE
a 2,000,00
GEN'LAGGREOATE PER;
PRODUCTS -COMWOP AGO
a 1.000,00
pLQIMpIT�APPLIES
POLICY JECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED BINDLE LIMIT
(Fe acddeno
S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per peron)
a
HIREDAUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per ecddenq
a
PROPERTY DAMAGE
(Per saddent)
a
GARAGE LIABILITY
AUTO ONLY• FAACCIDENT
S
ANYAUTO
OTHER THAN F-AACC
a
a
AUTOONLY' AGO
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
EACH OCCURRENCE
a
AGGREGATE
$
a
DEDUCTIBLE
g
RETENTION S
WORKERS COMPENSATION AND
4064145
01/01/2004
01/01/2005
wCSTATu- I IDTH-
B
EMPLOYERS' LIABILITY
ANY PROPRIEYORIPARTNERlD(BCUTIVE
OFFICERMEMSER EXCLUDEDI
Vyee, dabcrlbe under
SPECIAL PROVISIONS below
E.L. EACH ACCIDENT
$ 11000,00
E.L. DISEASE • EA EMPLOYFA
S 11000,000
E.L. DISEASE - POLICY LIMIT
s 1,000,0
OTHER
DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES I EXCLUSIONII ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins
attn: John - Purchasing Divisioh
PO BOX S80
Fort Collins, CO 9OS22-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEPORE THE
EXPIRATION DATE THEREOF, THE ISSIIIND INSURER WILL ENDEAVOR TO MAIL
10 DAYS wRrrTEN NOTICE TO THE CIJ{TIPICATE HOLDER NAMED TD THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
AUTHORIZED
. &AIRi
ACORD 25 (2001l08) FAX: 221-6707 U ®ACCA CORPORATION 1988