HomeMy WebLinkAboutANDERSON WINDSOR GARAGE - INSURANCE CERTIFICATE (2)ACORDM CERTIFICATE OF LIABILITY INSURANCE i2/31/200
PRODUCER (303) 776-5122 FAX (303) 776-5495 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
First Mai nStreet Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
512 4th Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 847 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Longmont, CO 80502 INSURERS AFFORDING COVERAGE
INSURED Anderson -Windsor Garage Door, Inc. INSURERA: Auto -Owners Insurance
328 S. Link Lane, # 15 INSURER 8:
Ft. Collins, CO 80524 INSURER C:
INSURER D:
INSURER E:
• -#
NAIC #
18988
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI
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
D'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
01/10/2004
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE m OCCUR
74000IS385
01/10/2005
EACH OCCURRENCE
S 1,000 00
DAMAGE TO RENTED
$ 5000
MED EXP (Any one person)
S 5,00
PERSONAL 8 ADV INJURY
$ 1,000,00(
GENERAL AGGREGATE
$ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,00(
A
AUTOMOBILE
I'Am LIT/
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
4400015385
01/10/2004
01/10/2005
(Ea accccNdenntSINGLE LIMIT
$
1,000,000
X
BODILY INJURY
(Per Person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LY AUTO IABLITY
AN
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
4300015385
01/10/2004
01/10/2005
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$
$ 1,000,000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
H yes describe under
SPECIAL PROVISIONS below
aC STATU. OTH.
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Fort Collins
P.O. Box 580
Ft. Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Debbie McGee/DEBMC
AGORD 25 (2001108) CACORD CORPORATION 1988