HomeMy WebLinkAboutTHE FLOOR CARE COMPANY - INSURANCE CERTIFICATE (4)OATE,MMRIDMO
ACO� rIBM
1/14/2005
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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
David Day Insurance Ageacy,Inc.
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
2606 W Alamo Ave
COMPANY
A
Littleton,CO 80120
1nA-7q5-1115
INSURED
COMPANY
The Floor Cave Company, LTD
B
COMPANY
1275 S Cherokee St
Denver, CO 80223
CKid-Century Insurance
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 SUBJECTTO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
lIN
YPE OF INSURANCE T
POLICYNUMBER
POLICYEFFECTIVE
GAYE(NMIODMI
POLICY EXPIRATION
DATC(MMMOrm
UNITS
GENERAL
L418&ITY
GENERALAGGREGATE
S
PRODUCTS -COMPIOP AGG
S
COMMERCIAL GENERAL. LIABILITY
PERSONAL & ADV INJURY
$
CLAIMS MADE ® OCCUR
EACH OCCVRRENCE
$
8
OWNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Any nnenre)
s
04594-83-37
06/03/04
06/03/05
MEDEXP(Anyono Dotson)
S2,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
S
ANY AUTO
1.000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Peramlaom)
$
g
HIREDAVTD5
NO"WNEDAUTOS
O4594-33-37
06/03/04
06/03/05
PROPERTY DAMAGE
$
GARAGE LIADaITY
AUTO ONLY- FAACGDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESSLWILRY
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000,000
s
UMBRELLA FORM
=
OTHER THAN VNBRELLA FORM
—
WORKERS COMPENSATION AND
A
TRY LIMBS ERA
EL EACH ACCIDENT
ENPLOYERE' UABIDfY
$
EL DISEASE -POLICY LIMIT
$
g
THE PROPRIETOR/ INCL
PARTNERWEXECUTNE
OFFICERS ARE: EXCL
M0409-06-53
01/01/03
01/01/06
EL DISEASE -EA EMPLOYER
$
OTHER
OESCIIPTION OF OPEPATIWWLQOA # NICLESISP&dAL ITEMS
Certificate holder added as additional
insured per endorsement to policy
number 04594-83-37.
SMXLO MY OF THE MOVE CCMIWD POLIOIM BE CANCRLM BEFORE THE
City of Ft. Collins
EXPIRATION DATE THEREOF, INS 133UNG COMPANY WA ENDEAVOR TO MAIL
Purchasing
'14)..DAYS WRITTEN NGTICE TO THE CERTrKATE HOLDER NAM® TO THE LEFT,
P.O. Box 580
BOT FAILURE TO MAN. SUCH NQTXZ WALL IMPOSE NO GBLIGAnON OR LIABLRY
Ft. Collins, CO 80522
GF RED UPON THE COW AOENTS OR INIIESENTATNE&
AU ESENTATIVB '
Attn: John Stephen
- -6
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