HomeMy WebLinkAboutNORTHSTAR FIRE PROTECTION - INSURANCE CERTIFICATEClipnfg- 191n
NARTFIRI
ACORD,e CERTIFICATE OF LIABILITY
INSURANCE
DATE
03123104orvvv)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MN -COMMERCIAL LINES
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
COBB STRECKER DUNPHY 8 ZIMMERMANN
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
150 S FIFTH ST STE 2000
MINNEAPOLIS, MN 55402
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: ZURICH AMERICAN INSURANCE COMPA
4Y
NORTHSTAR FIRE PROTECTION INC
INSURER B: SCOTTSDALE INSURANCE CO
875 BLUE GENTIAN ROAD
EAGAN, MN 55121
INSURER C:
INSURER D:
INSURER E:
COVERAGES
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
DATEYOLI
MF/DD/YYE
PDATE MM/DD/YIY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE rx-1 OCCUR
X XCU
GLO930827901
01/01/04
01/01/05
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED
S300ODD
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
X
BROAD FORM PD
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER'.
POLICY X PROJEC7 LOC
PRODUCTS - COMPIOP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON-OWNEDAUTOS
SAP930827801
01/01/04
01/01/05
COMBINED SINGLE LIMIT
(Ea accident)
$1 ,000 ,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
q
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESS/UMBRELLA LIABILITY
-xl OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION a 10,000TATUjj
UMS0014978
01/01104
01/01/05
EACH OCCURRENCE
s6000000
AGGREGATE
s6,000,000
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
WC930828001
01/01/04
01/01/05
X WC SLIMIT ER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT
s500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ANY/ALL WORK PERFORMED
CITY OF FORT COLLINS
281 N COLLEGE
FORT COLLINS, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL FVa0t0=j0t MAIL A0_ DAYS WRITTEN
AUTHORIZED
CERTIFICATE HOLDER NAMED TO THE LEFT,AJ(3(MMX%XX9Xk%X0MX
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