HomeMy WebLinkAboutJOE COOL CONSTRUCTION - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDlYYYY)
Brooke ba KIT A enc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Corp.rP • Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 39600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Colo. Springs, CO 80949
303-644-3047 INSURERS AFFORDING COVERAGE NAIC#
INSURED Toe Cool Construction, Inc INSURER A: National Fire & Marine Ins. Co
Resnik, Roger INSURER B: ~
3114 58 th Avenue INSURER C:
Greeley, CO 80634 INSURER D
970301-1482 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
NeaD
TYPE OF INSURANCE
POLICY NUMBER
DATE(MM/DD/YY)
DATE(MM/DD/YY)
LIMITS
A!
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMSMADE CI OCCUR
72LP158482
12-22-03
12-22-04
EACH OCCURRENCE
-RES
$ 1 1000,000
DAMAGE
occurence)
;$ IUD 000
MED EXP(Any one person)
$ 5,000
PERSONAL 8 ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 1 000 QQQ
GEN'L AGGREGATE LIMIT APPLIES PER
O-
POLICY JPRECT LOC
PRODUCTS - COMP/OP AGG
$ 1,000,000
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
SINGLE LIMIT
Ea accidenMBINEDt)
$
BODILYINJURY
(Per person)
- "_--
$
B aracci ent)
(Peraccident)
"y
$
PROPERTY DAMAGE
(Peraccident
$
GARAGE LIABILITY
ANYAUTO
AUTO ONLY -EA ACCIDENT
$
OTHERTHAN EAACC
AUTOONLY: AGG,,$
$
EXCESS/UMBRELLA LIABILITY
OCCUR F-1 CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, descri
SPECbe under
IAL PROVISIONS below
UIH-
TORY LIM ITS ER
E.L. EACH ACCIDENT
$
-
E.L. DISEASE EA EMPLOYE
—.
$
E. L. DISEASE -POLICY LIMIT
_
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT I —SPECIAL PROVISIONS
ii
CERTIFICATE
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522
:ANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.