HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (17)AC4RD CERTIFICATE OF LIABILITY INSURANCE DATE (MMYDOM YY)
PRODUCER (970)223-0924 FAX (970)267-2231 08/11/2003
FORMATION
Community First Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1Q7 S W Horsetooth Rd, Ste 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins, CO 80526
INSURERS AFFORDING COVERAGE I NAIC III
PO Box 2401
Ft Collins, CO 8OS22
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INQICATED. NOTWITHSTANDIN
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFIOITE 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.
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TYPE OF INSURANCE
POLICY NUWM
DA OMMLIMITS
A
X
GE+ERALLuswTY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
SIGL00097SO31
07/13/2003
07/13/2004
EACH OCCURRENCE
$ 1,000 low
PREMISES nn
S 50 1000
MED EXP (Any one pa'son)
S 5 100(
PERSONAL 3 AM INJURY
$ 1 000 0CN
GENERAL AGGREGATE
$ 2 QQQ
GEML AGGREGATE LIMIT APPLIES PER:
POLICY JCCCCT LOC
PRODUCTS - COMP/OP AGG
S 1 Q�
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
-
-
COMBINED SINGLE LIMIT
(Ea acaldent)
S
BODILY INJURY
(Per Person)S
BODILY INJURY
(Per )
PROPERTY DAMAGE
(Per acciEant)
S .
GARAGE UASILm
ANY AUTO
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
$
S
EXCESBNBeRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
.. ..
EACH OCCURRENCE
S
AGGREGATE
S
S
$
$
WORKERS COMPENSATION AND
EMPLOYERS UAS1L'17Y
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICEWMEMBER EXCLUDED?
MdesWbe Ueda[
NL PROVISIONS below
TORY LSBTS ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLO
S
El. DISEASE - POLICY LIMIT
S
I JUpTM OF OpM7joNs f LoCATIm f VEHICLES f E=LUSIONS ADDED By ENDORSEMENT I SPECIAL PROVISIONS
3-certificate holder, is named as an additional insured as their interest may appear with
spect to the ongoing operations of the named insured.
UrLiCLI.A I RJR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL
_ 10__ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
SLIT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY IQMXVV N THE INSURER ITS AG"P*RIq06B1IKTATWESI. AIaI,
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