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HomeMy WebLinkAboutBUSINESS ENTERPRISE MAPPING - INSURANCE CERTIFICATE (3)12/14/2004 12:12 PALUMBO INSURANCE 4 919702216707 NO.231 D01 ACORD CERTIFICATE OF LIABILITY INSURANCE TM DATEIMM)BD/Y" 12/14/2004 PRODUCER (508)SZ0-175S FAX William Palumbo Insurance Agency, Inc. 12 Washington St . P. 0. Box 374 Franklin, MA 02038-0174 THUS CTRT1f FCATES ISSUEDA A MATTEROFI NFORIM 0 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EMEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC III INSURED Business Enterprise Mapping Julia James 8900 E. Pinnacle Peak Rd, Std7 Scottsdale, AZ SS255 IN$URERA: CNA INSURER 8: INSURER C: INSURER0: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURFO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIT14STANDING 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. MR LTR Allul NORS TYPE OF INSURANCE POLICY NUMBER M✓D DATE XIMI Ulm A GENERAL LIABILITY )( COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR 174037820 OS/22/2004 OS/22/200S EACHOCCURRENCE S 2.000,00 PREMISES Ee ems S 100 00 MED EXP (Any one person) S 10 . PERSONAL A AOV INJURY S 1,000,001 GENERAL AGGREGATE $ 2,000,00 09ML AGGREGATE LIMIT APPLIES PER; POLICY JEOf LOC PRODUCTS-COMPAOPAGG $ 2,000,00 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTO$ NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea mcidwl) S BODILY INJURY (Per pE,fpn) 3 BODILY INJURY (Per soidenl) $ PROPERTY DAMAGE MW aoNdeng $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT 5 OTHER THAN EA ACC AUTO ONLY: AGG S S EXCESBBIMERELLA LIABILITY 71 OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE S AGGREGATE S S S S WORKERS COMPENSARON AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED7 1l yeS desenEeyr,der $PECUU. PROVISIONS belay WC 9TATU-- TORY LIMBS ER E.L. EACH ACCIDENT $ E.L. DISEASE• EA WAPLO S E.L. DISEASE -POLICY LIMB I $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY -ENDORSEMENT) SPECIAL PROVISION$ CERTIpICATr. I4re nro City of Fort Collins Ed Bonnette 21S N Mason St 2nd Floor PO Box 580 Fart Collins, CO 8OS22 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCHLLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO AWL - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF A�UPON THE INSURER, ITS AGGNTS OR REPRESENTATIVES. 25 (2001/08) FAX: (970)221-6707 CAGORD CORPORATION 1988 12/14/2004 12:12 PALUMBO INSURANCE 4 919702216707 NO.231 901 ACORDCERTIFICATE OF LIABILITY INSURANCE ii/I4i2�4 PRODUCER(508)52Q-1755 FAX S C T S I S AS A A ER O I OR William Palumbo Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 12 Washington St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 374 Franklin, MA 02038-0174 INSURERS AFFORDING COVERAGE NAIC# INSURED Business Enterprise Mapping IN$URERA! CNA Julia James INSURER BI 8900 F. Pinnacle Peak Rd, Std7 INSURERC; Scottsdale, AZ SS255 INSURER D: INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWrrmSTANDING 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 NORI TYPE OF INSURANCE POUCYNUMBER DATE MIOWYY MMIDWYY LIAM GENERAL UAMUTV 174037920 OS/22/2004 OS/22/2005 EACHOCCURRENCE s 1,000,00 OXOMPREMISES T eNTEMMJS 100 OO )( COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCwR MED U' Wn One I'e ) s 10,00 A PERSONAL AAOVBUURY S 1 ODO,OO GENERAL AGGREGATE 5 2,QDD,OO GENLAGGREGATE LIMIT APPLIES PER; POLICY jEC{ F1 LOC PRODUCTS -COMPIOPAGG S 2.g00,0O AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE L@IR (Es K4jdmt) S ALL OWNFD AVTDS SCHEDULED AUTOS BODILY INJURY (Per Pa6Dn) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per xeddent) S PROPERTY DAMAGE {Perewdent) S GARAGE LUIEfUTY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER TAM fA ACC 5 AUTO ONLY: AGG S EICCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION E S WORKERS COMPENSATION AND EMPLOYERS' LIABILTY TORT LIMITS ER E,L, EACH ACCIDENT S ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? Udeseraeundw RdIAL PROVISIONS below E.L. DISEASE. EA ENPLO S E.Lp15'EASE-POLICY LIMA S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1VEN16 I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PRpvISIpN3 City of Fort Collins Ed Bonnette 22S N Mason St 2nd Floor PO Box 590 Fort Collins, CO $0522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCI[L],EP BEFORE THE OtPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYJWZUPON THE INSURER, ITS AGENT$ OR REPRESENTATIVES. 29(200if4B) FAX: (970)221-6707 OACORD