HomeMy WebLinkAboutTHE FLOOR CARE COMPANY - INSURANCE CERTIFICATE (6)aCORDRI CERTIFII IARf
s ,
DATE (MMIDDY
"UN JU ': � ,12/22/2003 ,
PRODUCER
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 Agency,Inc.
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
2606 W Alamo Ave
COMPANY
Llttleton,CO 80120
303-795-111R
A
Farmer nsurance Exchange
INSURED
COMPANY
The Floor Care Company, LTD
e
COMPANY
1275 S Cherokee St
Denver, CO 80223
C Mid-C
COMPANY
D
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDD"
POLICY EXPIRATION
DATE(MMIDDIM
LIMBS
GENERAL
LIABILITY
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGG
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
PERSONAL& ADV INJURY
$1,000,000
EACH OCCURRENCE
$1,000,000
B
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any we fire)
$ 00,000
04594-83-37
06/03/03
06/03/04
MED EXP (Any one person)
$ 5,000
AUTOMOBILE
LIABILTY
ANY AUTO
COMBINED SINGLE LIMIT
$
10000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Peraccident)
$
B
HIRED AUTOS
NON -OWNED AUTOS
O4594-83-37
06/03/03
06/03/04
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LUURLITY
EACH OCCURRENCE
$
AGGREGATE
$
B
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
X I TORYLIMITS I I ER
$ i Do. DOD
EL EACH ACCIDENT
A
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
D0409-06-53
01/01/04
01/01/05
EL DISEASE -POLICY LIMIT
$
EL DISEASE - EA EMPLOYEE
$
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONSILOCAnONSNEHICLESISPECULL ITEMS
Certificate holder added as additional
insured per endorsement to policy
number 04594-83-37.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ft. Collins
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Purchasing
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX 580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LUBILITY
Ft. Collins, CO 80522
KND UPO THE P ITS AGENTS OR REPRESENTATIVES.
Attn: John Stephen
A HO REPRESENMA N
i
Y m
„E'P