HomeMy WebLinkAboutADCON SIGNS - INSURANCE CERTIFICATEClient#: 28957
ADCSI
ACORD- CERTIFICATE OF LIABILITY INSURANCE
DATE Y)
06/25103D
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA: The Hartford Insurance
Adcon Signs
Advertising Concepts, Inc. dba; 3725
INSURERS: Fireman's Fund Insurance, Co.
IHsuRERc. Pinnacol Assurance
Canal Drive
Fort Collins, CO 80524
INSURER D:
INSURER E:
COVERAGES
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTNE
DATE MM/DD
POLICY EXPIRATION
DATE MWDD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
34UUNTX2812
07/01/03
07/01/04
EACH OCCURRENCE
$1 000 000
DAMAGE TO RENTEDPREMISE (Ea accurrence)
$300 000
MED EXP (Any one person)
$1 O 000
PERSONAL B ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYEl PRO LOC
JECT
PRODUCTS-COMP/OP AGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
34UUNTX2812
07/01/03
07101/04
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESS/UMBRELLALIABILITY
X1 OCCUR CLAIMS MADE
HDEDUCTIBLE
X RETENTION $ 0
XYZ00075717140
07/01/03
07/01/04
EACH OCCURRENCE
$5000000
AGGREGATE
s5,000,000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOWPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
H yes, describe under
SPECIAL PROVISIONS below
4020883
07/01/03
07/01/04
OTH-
X WCSTATU- I ER
E.L. EACH ACCIDENT
s500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS All Operations -All Locations
Fort Collins, City of
300 Laporte Avenue
Fort Collins, CO 80521
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A_ DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
NO OBLIGATION OR LIAffiLLCY OF-ft KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED
ACORD 25 (2001/08) 1 of 2 #M251313 NIK 0 ACORD CORPORATION 1988