HomeMy WebLinkAboutFUELINGS SOLUTIONS - INSURANCE CERTIFICATEt-rorn: Aryrson Dominguez At: Monroe E Monroe Faxlb 91764OD131 To: BOB Date: al112003 10:47 AM Page: 2 of 3
ACORn_ CERTIFICATE OF LIABILITY INSURANCE rICI 1
OKWP "DDIY M
08 li/03
PRODUCER
Monroe i Monroe (UST)
204 Billings /110
Arlington TE 16010
Phone:817-640-S03S
THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORNATWN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTM7CATE DOES NOT AMENM EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW.
INSURERSAFFOROMGCOVERAGE
NMC9
WARMED
� P1afcelilutioas
3604gEmpiire St.
Evans CO 80620
ILARERA Mid -Continent Casualty Co.
INSURER B
INSURER c
t po
AMITR:R E
THE POLICES OF INSURANCE LISTED BROW HOVE BEEN ISSUEDT]TE !`15lM1iED NAAm ABOVE FOR7EE POLICY PMOD PDICAIED. WDIMTiSTAN DNr
ANY REOUIIPELEN t TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCLIENT WITH RESPECT TO VORCHTHIS CFRTFICATE MAY BE ISSUED OR
MAY PERTAIN THE ASSURANCE AFFORDED BY TIE POLICES DESCRIBED HEREIN IS SIIB.ECT TO ALL THE 1EI MS. EXCLUSIONS MD CONDITIONS OF SUCH
POLICES. AGGREGATE UILSTS SHOWN MAY RAVE BEEN REDUCED BY PAID C ARM.
LTR
UNA
TYPE OF ASSURANCE
POLICY NUMBER
DATE(LBIDONW)
DALE OWAlUfM
Lam
GBA3WLNWLffY
EACH OCCURRENCE
$1000000
A
y COMERCMLGETFRN LIABLTTY
04MB2883S
08/01/03
08/01/04
s 100000
CLAIM MADE ® OCCUR
bED EXP(Arri one psE )
s Excluded
PERSONAL BAOV NARY
$1000000
GENERAL AGGREGATE
s2000000
COIL AGGREGATE UMBT APPLIES PET
PRODUCTS- COMP/OP AGG
$2000000
POLICY ED PERC41 LOC
AUTOMOBILE
UABRM
ANY A(lf0
COMBINED SINGLE LIMIT
(ES emtlaq
s
BODILY INJURY
(Per Perms)
$
ALL ONKAEDAUTOS
SCHEDULED Auros
a
BCOLV WARY
(PIN 80Adat)
s
HIREDAUTOS
NDN-CANED AUTOS
PROPERTY DAMAGE(PW Waded)
s
GARAGE UABLOY
AUTO ONLY -EAACCIDENT
S
OIN6N THANFA ACC
s
ANY AUTO
s
AUTO ONLY: AGG
EICESSABBB81J1 LIABILITY
EACH OCCLMENOE
S
OCCUR ❑ CLAIMS MADE
AGGREGATE
S
S
s
DEDUCTIBLE
s
RETENTION $
MM CBWCOAPBSW AND
EMPLOVERl
TORYLNYTS I I ER
EL.EAUri ACC10EM
$
LIABUM
ANY PROPRIE701RPARTNER)E ECUTIVE
E L. DISEASE - EA EMPLOYEE
$
OFFI ERAE►6ER EXCLIPED'I
I Vas. desaAta urdK
SPE CAL PROVISIONS Gabe
ELDISEASE-POLICYLMT
s
OTHER
GFUPgMVMMILOtATOMI HAp.BfEXC7MMDABIADOED Y OOfISB ISPECMLMiOY151Ewn
Pollution liability Included in the general Liability. (blkt additional
insured an GL, if required by written insured contract.)
x4 a:R I Ii:NiII t �: iai A I: �. N 1-0 7I B-T Cal'
Sa%11vjm
VE SHOULD ANY OFTHE ABOOESCREND CAN POLICES BE CELLED BEFOREIE EXP/t IM
DATE T www, TIE N:NASG amoiER YYLL emSAVORTo NAL 10 DAYS VMYTEN
N0710E TO THE CEI FICATE HOLDER NMEDTO THE LEFT, BUT FAAUILE TO DO 50 SHALL
S a u P L E c 0 P T
IMPOSE NODEJrATONORUABILRYOFAMKIND UPON DIE IlRllltCiR, ITS AGB174 OR
RHITATNEL
IMAERI
ACXnCU zb (Z001=) 0 ACORD CORPORATION 1MMM
r The INA Financial Group, Inc.
INA of Colorado, Inc.
1550 17th Street
Suite 600
Denver, CO 80202
City of Fort Collins
Po Box 580
Fort Collins, CO 80522
USA
USA
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