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Home My WebLink AboutJ A C COMPANY - INSURANCE CERTIFICATEPRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Pinnacol Assurance AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 7501 E Lowry Blvd CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE DENVER CO 80230-7006 AFFORDED BY THE POI TCIFS RFI nw INSURED J A C & COMPANY INC 6777 DOWNING ST pB DENVER CO 80229 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 AND 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. I CO I TYPE OF INSURANCE I POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATION I LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR OWNER'S & CONTRACTOR'S PROT I PRODUCTS - COMPrOP AGG PERSONAL & ADV PINAY EACH OCCURRENCE FIRE DAMAGE m Are MED EXP ao AUTOMOBME LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS COMEINED SINGLE LIMPT BODILY INJURY w BODILY INJURY acciErR[ PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY - 8A ACCIDENT OTHER THAN AUTO ONLY' ........ ... _ PACHACCIDENT CESS LIABILITY UMBRELLA FORM WORKERS COMPENSATION AND WC STATU Lj OTHER . .... . .. .> EMPLOYERS' LIABn.ITY TORY LIMITS" ::..................::...........:. A 4029783 06/01/2004 06/01/2005 EL EACH ACCIDENT 1 000 000 THE PROPRIETOWPARTNERS, INCL EL DISEASE-POUCY LLWT 1000.000 EXECUTIVE OFFICERS ARE: EXCL EL DT.%TASE - EA EMPLOYEE t1 OOO OOO OTHER DESCRIPTIONOFOPERATION-ILOCATIONMNEHICLESISPWC ITEMS SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL 781071 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 281 NORTH COLLEGE AVE 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FORT COLLINS CO 80522 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVE AUTHORIZED REPRESENTATIVE My Dung Cao GOULDA CST &*" 091MYN 02:M 41 CM9710 UpWed'. 12� 151U% 12:M:W DW135 CERTIFICATE HOLDER COPY CITY OF FT COLLINS 281 NORTH COLLEGE AVE FORT COLLINS CO 80522 POLICY NUMBER: 4029783 BUSINESS LOCATION: I A C & COMPANY INC CLASSIFICATION OF OPERATION COVERAGE CLASS DESCRIPTION EFFECTIVE 560605 CONTRS-EXEC SUPER 06/01/2004 564505 CARPENTRY -RESIDENTIAL 06/01/2004 565105 CARPENTRY APTS/CONDOS 06/01/2004 881005 EXCLUSIVELY OFFICE 06/01/2004 COVERAGE RATING EXPIRES TYPE 06/01/2005 EM 06/01/2005 EM 06/01/2005 EM 06101 /2005 EM