HomeMy WebLinkAboutJBLANCO ENTERPRISES SILVERCOOL SERVICE FREDRICK WE - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MMIDONYYY)
SILVCOO
01 04 05
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jewell Insurance Associates
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8480 E. Orchard Road, Ste 5500
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greenwood Village CO 80111
Phone:303-740-8101 Fax:303-740-8019
INSURERS AFFORDING COVERAGE
NAIC#
INSURED J$lanco Enterprises Inc. DBA
Silvercool Service Co.
INSURER A: Owners Insurance Company
32700
INSURERB: National Fire & Marine
Frederick R Wellers &
Jeannette Wellers (Ind)
Enterprise, Inc. dba
INSURER C: Pina8C01 AssuranceJBlanco
INSURER D:
8260 Brighton Road
Commerce City CO 80222
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
NSA
TYPE OF INSURANCE
POLICY NUMBER
DATE MMIDD
DATE MMA)DIYY
LIMITS
is
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X❑ OCCUR
72LP158503
01/20/04
01/20/05
EACH OCCURRENCE
$ 1, 000, 000
PREMISES Ea oCCurence
$ lOO, OOO
MED EXP (Any one person)
$ 5,000
PERSONAL B ADV INJURY
$ 1, 000, 000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY jE LOC
PRODUCTS-COMP/OP AGG
$ 2, 000, 000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
4487448700
01/20/04
-
IL
01/20/05
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 000, OOO
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANYAUTO
B
A
(
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGO
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
OyFaFIICERIMEMBEREXCLUDED?
, describe under
SPECIAL PROVISIONS below
4076928
10/01/04
10/01/05
TORY LIMITS ER
E.L. EACH ACCIDENT
$ 500000
E.L. DISEASE - EA EMPLOYE
$ 500000
E.L. DISEASE - POLICY LIMIT
$ 500000
A
A
OTHER
Property Section
Install/Builders R
044732-74000117-04
044732-74000117-04
01/20/04
01/20/04
01/20/05
01/20/05
Property $150,000
Install $100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
1FORT002 SHOULD ANY OF THE ABOVE DESCRIBED POUGES BE CANCELLED BEFORE THE EXPWATIOI
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Fax: 1- 3 03 - 2 21- 67 07 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
John Stephen IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P. O. Box 580
Fort Collins CO 80521 REPRESENTATIVES.