HomeMy WebLinkAboutADVANCED PEST MANAGEMENT COLORADO MOSQUITO CONTROL - INSURANCE CERTIFICATE (13)I
1dn Elliott - M0034D27.TIF Page 2'
Dates 4/16/04 Times 11,49 AM Tos ® 91970-221-6707
PWpucEn
Pi...[ Assurance
7501 E Lowry Blvd
DENVER CO 80230-7006
IxsuRED
ADVANCED PEST MANAGEMENT OF COLORADO INC
9999 OLDS WADSWORTH BLVD
BED
CO 80021
Pinnacol Assurance Pape, 002-003
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
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT, TERM AND 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 POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
m I TvlE OC INSURANCE I PCI.ICTI ..s, I PIX.ILY EFFEQIVE I POLkY..ION I LWRS I
QAIM9 MADE U .TV
O ERS&OMMA M'S PWT
AUUREOATE
H[CP S WRXITY EA�1 O(i'URFEN(£
VMSREIIA FORM AOOREOATE
OTHER THAM VMBREW FORM
...........................
N ORxER9 CWAR'.XSATIOXANp WC SLAT U- bIXE¢
ROTERS LW311f1'y TORT LIMITS
.4 3080162 03/01/2004 03/Ol/2005 EL FAP[ACOrfrM $100000
i HE PROPRI EfOWPARTXERy INCL EL pISFASE-PoIIGY LIMIT 00WO
PxP IVE pPPl SAKE: EXa ELDISPAM $100,000
m,ax
ss-CRI➢PION OP OPSgpT10NS/LOGTIONS/V FNICUy3P6C1AL ss.
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
757366
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THE CTTY OF FORT COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY W ENDEAVOR TO MAIL
PURCHASING DIVISION
0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
215 NORTH MASON STREET
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
PORT COLLINS CO 80522
LIABILITY OF ANY RIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Regina Grecke]
asnEPOP (SRSwMI mnya vnaa.» xsla up,Ne: u/misn vuow mna
Jan Elliott - M0034D27 TIF Page 3
Date, 4/16/04 Timer 11t49 AM Tos 0 91970-221-6707
CERTIFICATE HOLDER COPY
THE CITY OF FORT COLLINS
PURCHASING DIVISION
215 NORTH MASON STREET
FORT COLLINS CO 80522
Pinnacol Assurance Pape, 003-003
POLICY NUMBER: 3080162
BUSINESS LOCATION: ADVANCED PEST MANAGEMENT OF COLORADO INC
CLASSIFICATION OF OPERATION
COVERAGE
CLASS DESCRIPTION
EFFECTIVE
Affiliate Coverage: MOLLIE A MCGINNIS
881005 EXCLUSIVELY OFFICE
03/01/2004
Affiliate Coverage: KATE A MCGINNIS
881005 EXCLUSIVELY OFFICE
03/01/2004
881005 EXCLUSIVELY OFFICE
03/01/2004
901450 EXTERMINATOR
03/01/2004
COVERAGE RATING
EXPIRES TYPE
03/01/2005 CO
03/01/2005 CO
03/01/2005 EM
03/01/2005 EM