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HomeMy WebLinkAboutCAMPANA CONSTRUCTION - INSURANCE CERTIFICATE (2)02/28/2005 02:16 9702235740 BELLISIMO INC PAGE 03 ACOM CERTIFICATE OF LIABILITY INSURANCE 09/2 /20o PRODUCER (970)223-0924 FAX (970) 267-2231 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Community First Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1075 W Horsetooth Rd, Ste 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 90526 INSURERS AFFORDING COVERAGE _ _ NAIL # NsuRED Campana Construction Corp INSURERA: Colorado Casualty Insurance 41785 2020 Lowe, Ste 201 INSURERS: Fort Collins, CO 90526 INSURER C: INSURER D: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( 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 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCK POLICIES.AGGREGATE LIWTS.SHOWN MAYJiAVE BEEN REDUCED BY PAID CLAIMS, • - - - -- - -- - - - - - NSR D' TYPE OF INSURANCE POLICY NUMBER POUCYEFPECTIVE POUCYEIPIRATON UMRS A GENERAL UABIJTY X COMMERCIALGENEPALLIASILITY CLAIMS MADE O OCCUR AP053987803 09/22/2004 09/22/2005 EACH OCCURRENCE $ 1,00000 ETORENTED f 500100 MED EXP (Any wm penal) S 5 O0 PERSONAL & AOV INJURY S 1, 000 , O GENERAL AGGREGATE S 2,000 O GENL AGGREGATE LRIIMpIIT. APPLIES PER POLICY JECi LOC PRODUCTS . COMPIOP AGO, S 2,000,00( AUTOMOBILE LIAEIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-ONNEDAUTOS COMBINED SINGLE LIMIT (Es ualbn) S BODILY INJURY (Per pen) ne $ BODILY INJURY (per swden) S PROPERTY DAMAGE (Poro¢ciderd) S OARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT 3 OTHER THAN EAACC AVroONLY: AGG S EXCEW""RE" A LIABRITY OCCUR �CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE i AGGREGATE S S $ WORKERS COMPENSATION AND EMPLOYFRV UABIUTY ANY PROPRIETORIPARTNER MCLITIVE OyFaaFIICEWMEMBER EXCLUDED1 $PECIA PROVISIONS aescrin 0 pebw YJC 6TA - O N- E.L. EACH ACCIDENT $ &L. DISEASE -EA EMPLOY S E.L. DISEASE • POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/ LOCATIONSIVENI /EXCLUSIONS ADDEB BY ENDORSEMENT SPECIALPROVISIONS he certificate holder is na� as an additional insured as their interest may appear. FAXED SEP 21 2004 rTC07TEIn KTG UAI nco P•AM&INI I ATInU SHOULD ANY OFTHE ADONE DESCRD3ED POLICIES BE CANCELLED WPM THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3.0 DAYS WRITTEN NOTOE TOTNE CERTIRCATE HOLDER NAMED TO THE LEFT, city of FortCollins.- Building & Permits BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX S8O - - - - DF ARY KING U E INSURER ITS AG R REPRESENTATIVES. Fort Collins, CD 80522-0580 AUTHORIZED RE ATIVE + Rosemary ACORD 25 (200TJ08) rAA; ccs-!bf'tu V 0AC005 CORPORATION 1988