HomeMy WebLinkAbout113618 AQUA ENGINEERING - INSURANCE CERTIFICATE (7)AGO RDCERTIFICATE OF LIABILITY INSURANCE UODc 04-07DTE
A 2004
PRODUCER
VAN GILDER AGCY CO/A&E PRGM/PHS
343366 P:(866)467-8730 F:(877)905-0457
P. 0. BOX 33015
SAN ANTONIO TX 78265
INSURED
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
INSURER
AQUA ENGINEERING, INC. INSURER C:
4803 INNOVATION DRIVE INSURER D:
FORT COLLINS CO 80525 INSURER E:
COVERAGES
INSURERS AFFORDING COVERAGE
Ins
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.
INSR
LTII
TYPE OF INSURANCE
PoLICY NUMBER PoLICY EFFECTIVE
DATE MM/DD/YY
PoLICV EXPIRATION UMRS
DATE MM/DDIYV
GENERAL LIABILITY
I EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire) $
CLAIMS MADE u OCCUR
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
POLICY PECT RO LOC
J
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
B
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE $
OCCUR a CLAIMS MADE
AGGREGATE $
$
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
34 WEG KC2904
05/05/04
05/05/05
WC STATU- OTH-
TORV X R
E.L. EACH ACCIDENT
$1, 000, 000
E.L. DISEASE - EA EMPLOYEE
$1 , 0 0 0 , 0 0 0
E.L. DISEASE -POLICY LIMIT
$1, 000, 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
City of Ft Collins
Purchasing Division
PO Box 580
Fort Collins, CO 80522-0580
JULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
-IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
'RESENTATIVES.
REPRESENTA33YE
"` Vn' ZO-0 IIIuII o ACORD CORPORATION 1988