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Home My WebLink AboutGEORGE KELLOGG COMPLETE HOME IMPROVEMENT - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company if selection box is not checked. 6000 American Pity Madison, Wisconsin 53783-0001 Insured's Name and Address George Kellogg DBA Complete Home Improvement 2706 Lamona Ct Fort Collins, CO 80526-1115 Agent's Name, Address and Phone Number (Agt./Dist.) Daniel B Richmond (970) 484-2681 923 E. Prospect Rd Fort Collins, CO 80525-1110 (125/309) This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend or alter the coverage afforded by the policies listed below. COYIrRA'i�iES This is to certify that 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 aitorded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. I TYPE OF INSURANCE POLICY NUMBER POLICY DATE LIMITS OF LIABILITY EFFECTIVE EXPIRATION (Mo. Day. Yr(Mo. Day. Yr Homeowners! Bodily Injury and Property Damage Mobilehomeowners Liability Each Occurrence $ '000 Boatowners Liability Bodily Injury and Property Damage Each Occurrence $ ,000 Personal Umbrella Liability Godly Injury and Property Damage Each Occurrence $ ,000 Farm Liability, 8 Personal Liability Farm/Ranch Liability Each Occurrence $ 000 Farm Employer's Liability Each Occurrence $ 000 Workers Compensation and stalutory, wr �eatersrs Each Accident $ 000 Employers Liability t Disease - Each Employee $ ,000 Disease - Policy Limit $ ,000 General Liability General Aggregate $ 2,000 000 Products - CompletedOperations A reate $ 2,000 000 ® Commercial General Liability (occurrence) ❑ 05-X74201 03/11/2004 3/11/2005 Personal and Advertising Injury $ 1.000 Each Occurrence $ 1,000 ,000 ❑ Damage to Premises Rented to You $ 100 000 Medical Expense (Any One Person) $ 5 000 Businessowners Liability Each Occurrencet t $ ,000 Aggregatett $ ,000 LIQUOr Liability Common Cause Limit $ ,000 Aggregate Limit $ ,0o0 Automobile Liability Bodily Injury - Each Person $ 1 ,000 ,000 ❑ Any Auto ❑ All Owned Autos Bodily Injury - EachACGtlent $ 1,000,000 Property Damage $ 1,000 ,000 ® Scheduled Autos 05-X74201 9/7/2003 9/7/2004 ❑ Hired Auto ❑ Nonowned Autos Bodily Injury and Properly Damage Combined $ ,000 Excess Liability ❑ Commercial Blanket Excess Each Occurrence/Aggregate $ 000 Other (Miscellaneous Coveraaes) DESCRIPTION OF PE TONS / LOCATIONS / VEHICLES / RESTRICTIONS / SPECIAL ITEMS ',`a1�1y ruAFf y �� qa �,,, �,�k7y ,: �. � rFµ y,��r+ r ,1 vY��lifjy� d '� �c '`F'" �.'t''> i r y� t The indivltlual or partners shown as Insured ❑Have ❑Have not elected to be covered as employees under this policy. Products-Canpleted Operations aggregate is equal to each F 3 ° u /��v,yr�kwbs.� t t occurrence limit and is included in policy aggregate. P % ia�6 a r c Z6 ,Y ur►FlCATE°-fI01;QEFT S;NAME ANt► AUCRESS ;." CANCELLATWN • LKJ Should any of the above described policies be cancelled before the date thereof, the to '( 10 days) City of Fort Collins expiration company will endeavor mail written notice to the Certificate Holder named, but failure to mail such P O Box 560 notice shall impgose no obligation or liability of any kind upon the 'TO days different g representatives. unless number of Fort Collins CO 80522 days own. 224-6134 ❑ This certifiesshcoverage on the date of issue only. The above described policies are subject to cancellation in conformity with their terms and by the laws of the state of issue. DATEISSUED IZED EPRESENTATIVE 3/16/2004 �g U-201 Ed. 5100 Certificate Holder Stock No. 06668 Rev. 7102