HomeMy WebLinkAboutNEWELL BROS - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDD/YYYY)
NEWEL-1 09/17/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency GR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone:970-356-1133 Fax:970-356-4088
Newell Bros., LLC
2121 lot Avenue Suite B
Greeley, CO 80651
INSURERS AFFORDING COVERAGE NAIC #
INSURER A' Bituminous Casualty Corp.
INSURER B: Pinnacol Assurance
INSURER C:
INSURER D:
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
M/
DATE MDD/YY
DATE MM/DD/YV N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1, 000, 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX OCCUR
CLP33196780B
09/17/04
09/17/05
PREMISES (Ea occurence)
$ 100,000
MED EXP (Any one person)
$ 5, 000
PERSONAL &ADV INJURY
$ 1, 000, 000
GENERALAGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$2,000,000
POLICY ZIOT LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
CAP3196781B
09/17/04
09/17/05
COMBINED SINGLE LIMIT
CO accident)
$1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
N/A
OTHER THAN EA ACC
$
$
AUTOONLY: AGG
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
N/A
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
3454167
05/01/04
05/01/05
X TORY LIMITS ER
E.L. EACH ACCIDENT
$100,000
BERand EXCLUDED?
OFes, describe
If yes, tle PRO PROVISIONS
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYE
$100, 000
E.L. DISEASE - POLICY LIMIT
$ 500, 000
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED UNDER THE GENERAL
LIABILITY POLICY, BUT ONLY WITH RESPECTS TO LIABILITY ARISING OUT OF THE
INSUREDS OPERATIONS. FAX: 970-221-6707
FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL SI[IEX9101111=MAIL 30 DAYS WRITTEN
City of Ft. Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIEFTIIIIsIosi
Attn: Jan
P.O. Box 580 W La
Ft. Collins, CO 80522 AIZE ORDRE RESENTATIVE /
ACORD 25 (2001/08) 6ACORD