HomeMy WebLinkAboutCEDAR SUPPLY NORTH - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCg OP ID DATE (MMIDDIYY)
BDAR-6 10/27/04
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
INSURERA: MOUNTAIN
INSURERS: Pinnacol
Cedar Supply North, Inc. INSURERC:
Boyd Thomas (Skip)
7720 South College INSURER D:
Fort Collins CO 80525
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICYFFFECTIVE
DATE MMIDD
POLICY EXPIRATION
DATE MMIDD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
CPP0079140
11/09/04
11/09/05
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Anyone fire)
$100,000
MED EXP (Any one person)
$ 5 , 0 0 0
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$ 2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
17 POLICY PRO-JECT LOC
PRODUCTS - COMF/OP AGG
$ 2 , 00 0 , 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
BAP0079140
11/09/04
11/09/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY
(Per person)
$
X
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
$
$
A
EXCESS LIABILITY
X OCCUR CLAIMSMADE
DEDUCTIBLE
X RETENTION $ 10, 000
UNB0079140
11/09/04
11/09/05
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
4048795
07/01/04
07/01/05
X TORY LIMITS ER
E.L. EACH ACCIDENT
$ 1000000
E.L. DISEASE - EA EMPLOYEE
$ 1000000
E.L. DISEASE -POLICY LIMIT
$ 1000000
OTHER
DESCRIPTION OF OPERATIOMNLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CITYFT7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1-(L- DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Purchasing Dept P. O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522 REPRESENTATIVES. .
1988