HomeMy WebLinkAboutCONSTRUCTION TECHNOLOGIES - INSURANCE CERTIFICATEr
ACORD. CERTIFICATE OF LIABILITY
INSURANCE
0DATE 9/0 MIDDI
09/08/2003003
PRODUCER (970) 484-2805
John C. Beckett &Associates Inc.
220 Smith Street
Ft. Collins CO 80524-
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 BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Construction Technologists, LLC
2100 West Drake Rd #5 PMB #244
Fort Collins CO 80526-1400
INSURERA:UNITED FIRE & CASUALTY
INSURERS:
INSURERC:
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.
INSR
LTR
ADVL
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD
POLICY EXPIRATION
DATE MMIDD
LIMITS
A
GENERAL LIABILITY
EACH OCCURRENCE
$ 100,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE EKOCCUR
60082189
10/08/2003
10/08/2004
DAMAGE TO RENTED
PREMISES Ea occurrence
100 OOO
$ r
MEDEXP one n
$ 5,000
PERSONAL 8 ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
_x1
PRODUCTS-COMPIOP AGO
$ 2,000,000
POLICY I I JEC LOC
AUTOMOBILE LIABILITY
NO COVERAGE
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident)
$
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per gym)
$
HIREDAUTOS
NON -OWNED AUTOS
BODILY INJURY
Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
ANY AUTO
NO COVERAGE
I I
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
NO COVERAGE
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
NO COVERAGE
C 1J I{
TORV LIAMITS OER
E.L. EACH ACCIDENT
8
ANY PROPRIETORIPARTNEWEXECUTIVE
E.L. DISEASE - EA EMPLOYEE
$
OFFICERIMEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - POLICY LIMIT 111
SPECIAL PROVISIONS below
OTHER
NO COVERAGE
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
CITY OF FT. COLLINS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PO BOX 580 INSURER ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
FORT COLLINS CO 80522-
&CORD 25 (2001108) a ACORD CORPORATION 1988
ttrei INS025 piiif).05 ELECTRONIC LASER FORMS, INC. - (800)327.0545 Page 1 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
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�6 M INS025 (010e).0e Page 2 of 2