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HomeMy WebLinkAboutESA INC - INSURANCE CERTIFICATEACORD,. CERTIFICATE OF LIABILITY INSURANCE CSR DATE (MMI/YY REMED-1 12/0803 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Quinn Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11815 M Street, Suite #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Omaha NE 68137-2232 Phone:402-891-1234 Fax:402-891-1252 INSURED ESA Inc PO box 1370 North Sioux City SD 57019 INSURERS AFFORDING COVERAGE INSURERA: Amer, Intl, Spe INSURER B: Commerce & Indu INSURER C: INSURER D_ INSURER E NAIC # Lines Ins Co y Ins Co 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. INbK LTR NSRI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE s5000000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 3 I OCCUR PR09342189 12/01/03 12/01/04 PREMISES (Eaoccurence) $50000 MED EXP (Any one person) $ 5000 X Asbestos & Lead INCLUDES MOLD ABATEMENT PERSONAL B ADV INJURY $ 5000000 Paint Abatement GENERAL AGGREGATE s 5000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $5000000 PRO- POLICY PRO JECT LOC Em Ben. 1000000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERIETORILITY ANY PROPRIETORIPARTNDEDE CUTIVE WC00314654700 12/O1/03 12/O1/04 X TORY LIMITS ER E.L. EACH ACCIDENT $1000000 EXCLUDED? Oyes. describe If yes. tlescribe under E.L. DISEASE - EA EMPLOYEE $lOOOOOO E.L. DISEASE -POLICY LIMIT $ 1000000 SPECIAL PROVISIONS below J OTHER 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project: Brown & Hazaleus Properties, 4112 E County Road 34E & 6123 S Shields Str, Fort Collins, CO -- �.,NIYV CLLX I IVIY FORTC-4 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 FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LI TY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 North Mason Str, 2nd Floor REPRESENTATIVES. Fort Collins CO 80524 AUTHORIZED REP SENTATIVE CraigT ACORD 25 (2001108) © ACORD CORPORATION 1988