HomeMy WebLinkAboutKRAMERS CUSTOM CONSTRUCTION - INSURANCE CERTIFICATEA00 CERTIFICATE OF LIABILITY INSURANCE DA7;(M, YM
1 09/20/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Kersey Insurance & Investments, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
318 1 St Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 555
Kersey, CO 80644-0555
INSURED
Kramers Custom Construction, LLC
541 3rd Street
PO Box 583
Pierce, CO 80650
COVERAGES
INSURERS AFFORDING COVERAGE
Unitrin MUM Lines Insurance
INSURER B: Pinnacol Assurance
INSURER C:
NAIL i
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.
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TYPE OF INSURANCE
POLICY NUMBER
%WwWam
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LIMITS
A
XX
GENERAL LIABILITY
71 COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
CPA 7102692
08/20/2004
08/20/2005
EACH OCCURRENCE
E 1,000,000
A [AGE TO RENTED
PREMISES a occurencs
E 100,000
MED EXP (Any ene person)
E 5,Do0
PERSONAL & ADV INJURY
E 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY R PROJECT F1 LOC
PRODUCTS - COMP/OP AGG
E 2,000,000
Deductible Per Claim
$250
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-0NMED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
E
BODILY INJURY
(PM Person)
E
BODILY INJURY
(Par accident)
E
PROPERTY DAMAGE
(Per accident)
E
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
E
OTHER THAN EA ACC
AUTO ONLY: AGG
E
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
E
AGGREGATE
E
S
E
E
B
FJMPLovElSpa 8ATION AND
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
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IF SPECIALPROVISIONS bebw
4084593
09/03/2004
09/01/2005
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TORV LIMITS ER
E.L. EACH ACCIDENT
E 100,000
E.L. DISEASE-E1EM'lOYEE
E 100,000
E.L. DISEASE -POLICY LIMI
E 500,000
OTHER
Concrete Flatwork
Additional Insured: City of Fort Collins, PO Box 580, Fort Collins, CO 80522
CERTIFICATE HOLDER CANCELLATION
SHOULD ANOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City Of Fort Collins
ort
PO Box
INSY
DATE THEREOF, THE malANG INSURER WILL ENDEAVOR TO MAN. 30 DAYS VOOTTEN
Fort Collins, CO 80522
NOME TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FANURE TO DO $O SHALL
NODOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENrATrJM
AUTHOR REPRESENTATNE
Greg Michalik, Agent -Kersey Insurance & Investments, Inc.
ACORD 26 (20MM) O ACORD CORPORATION ism