HomeMy WebLinkAboutJ J S VENDING SERVICE - INSURANCE CERTIFICATEQCORQ CERTIFICATE OF LIABILITY
INSURANCE
DATE /2o
PRODUCER (970)484-0097 FAX (970)484- 7077
Herbert -Leavitt Ft Collins
2537 Research Blvd 8100
Fort Collins, CO SOS26
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED I Is Vending Service
6826 N. Franklin
Loveland, CO SOS38
INSURER Safeco
INSURERS: Pimacol Assurance
I WSURERC
INSURER D.
NJSURERE.
(YIVFDAGOR
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.
IN"
TYPE OF INSURANCE
POLICY NUMBER
POLICY FECTIVE
OGMEOnM
LICY E%PIMA 011
PODATE
LIMITS
GENERAL LIABILITY
01CG267672
11/15/2004
11/15/2005
EACH OCCURRENCE
t 1 GDO
,Y COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$ 200, ON
CLAMS MADE OOCCUR
MEOEXP(Adyweper )
S 10,
AIT7
PERSONAL & ADV INJURY
t 1 OOO
GENERAL AGGREGATE
3 2,000,
GENT AGGREGATE UNITAPPLIES PER:
PRODUCTS- COMNOP AGG
S 2, DOD, 00(
POLICY JpECT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMB
(Es accident)
t
ALL OWNED AUTOS
SCHEDULED AUTOS
BODLYW.EIRY
(Perpersm)
S
HIRED AUTOS
NON -OWNED AUTOS
BODILYWJJRY
(Per 8CCdWNI
t
PROPERTYDAMAGE
(Per eccidenl)
t
GARAGE UABLI Y
AUTO ONLY. EA ACCIDENT
S
OTHER THAN EAACC
S
ANY AUTO
t
AUTO ONLY. AGG
EXCESSAAABRELLALIABILIY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
S
S
DEDUCTIBLE
3
TETENMN t
B
WORICERSCGMPENSATONAND
EMPLOYERY LIABILITY
ANY PROPPoETOR�PARTNEMEXECURVE
3308161
04/01/2004
04/01/200S
To srn s ER
EL. EACH ACCDENT
t 100
E.L. DISEASE. EA EMPLOYEE
I S 100
OFFICER)MENE IER EXCLUDED?
undef
IM MA!
SPECIAL PROVISIONSI)SIM
E1.0SEASE-POUCYLMT
3 SOD
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECNL PROVISIONS
ll Operations/All Locations
rcDTN:w%ATF UnI nPR 1%Aâ–ºIrC1 I ATV%m
814OULDANYOFTHE ABOVE DESCR03ED POLICES BE CANCELLED BEFORE THE
EXPINATIONDATE THEREOF, THE ISSUING INSURER WILL ENDEAVORTOMAL
City of Fort Collins
ID DAYS WRnEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT'
Building & Zoning
BUT FAILURE TO NNL SUCH NOTICE SMALL SVOSE NO OBLIGATION OR LwBLnY
281 North College Avenue
OF ANY HIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORREDREPRESENTATAIE
Fort Collins, CO 8OS24
Diame Littlefield ELT
ACORD 25 (2001100) ®ACORD CORPORATION 1988