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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.