HomeMy WebLinkAboutARMADILLO CONSTRUCTION - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE m P DATE(MMIDDIYY)
1 1 07/30/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE
Armadillo Construction Co Inc.
Walter Peeples
229 N Hwy 287
Ft Collins CO 80524
Cf7VFRAGFS
INSURER A: CONTINENTAL WESTERN
INSURER B: Westport Insurance
INSURER C:
INSURER D:
INSURER E:
CO
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.
1�TR
TYPE OF INSURANCE
POLICY NUMBER
DATE MIDDEFFECTIVE
PDA EYMMIIYY EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑X OCCUR
X Agg Per Proje4t A
CWP234048022
08/01/03
08/01/04
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Any one fire)
$100,000
MED EXP(Anyone person)
$5,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
JECT
PRODUCTS-COMP/OP AGG
$2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CWP234048022
08/01/03
08/01/04
(EaCOMBINEDSINGLEGLELIMIT
CO accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LABILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS LIABILITY
X OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION $
CU234048220
08/01/03
08/01/04
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$1,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
WCX0013221
08/01/03
08/01/04
X TORY LIMIU VIITS ER
E.L. EACH ACCIDENT
$100,000
E.L DISEASE-EAEMPLOYE.
$ 100000
E.L. DISEASE -POLICY LIMIT
$ 500 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
�cn I Iriu, 1 G MULUGK N ! ADOITIONAI INSIIRFT INAI IRFR I FTTFR• CANCFI I ATI"N
CITYFT5
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .1.0 DAYS WRITTEN
City Of Fort Collins
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing
P O Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE SI �_
^1 WnY LJ-J LIIVrl UACORD CORPORATION 1938