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Home My WebLink AboutJBLANCO SILVERCOOL FREDERICK WELLERS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMDDNYYY) SILVCOO 10 26 04 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 NAIC0 INSURED JBlanco Enterprises Inc. DBA Silvercool Service �o. INSURER A: Owners Insurance Company 32700 INSURERB: National Fire & Marine Frederick R Wellers & Jeannette wellers (Ind) JBlanco Enterprise, Inc. dba I NsuRERc: Pinaacol Assurance 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 NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDD LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR 72LP158503 01/20/04 01/20/05 EACH OCCURRENCE $ 1, 000, 000 PREMISES Eaoccurence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT 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 01/20/05 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO 8 A S\V O EV�E AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ C WORKERS COMPENSATION AND ANY PROPRIETORIIETOWEMPLOYERILITYPARTNERlEXECUTIVE OFFFFICER/MEMBEREXCLUDED? SPEC es AL 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 1 044732-74000117-04 044732-74000117-04 01/20/04 01/20/04 01/20/05 1 1/20/05 Property $150,000 Install $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION FORT002 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Fax: 1- 3 03 - 2 21- 67 0 7 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. 25 (2001108) `_ f( — I JitTASORD CORPORATION 1986 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMMDIYYYY) SILVCOO 11 18 04 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 JBlanco Enterprises, Inc. DBA INSURER A: Owners Insurance Company 32700 Silvercool Service Co. Frederick R Wellers & INSURERB: National Fire & Marine Jeannette Wellers (Ind) JBlanco Enterprise, Inc. dba I NSURERC: P1nnaC01 Assurance 8260 Brighton Road INSURER D: 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. INUK LTR NOW INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MMIDDNY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X] OCCUR 72LP158503 01/20/04 01/20/05 EACH OCCURRENCE $1,000,000 PREMISES Eaoccurence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEC T LOC PRODUCTS-COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4487448700 01/20/04 01/20/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ C WORKERS COMPENSATION AND ANY PROPRIETOR/IETORlEMPLOYERLIABILITY PARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? A describe under SPECIAL PROVISIONS below 4076928 10/01/04 10/01/05 TF TWIT LIMITS ER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE -POLICY LIMB 1 $ 5 0 0 0 0 0 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 / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of Fort Collins Fax: 1-303-221-6707 John Stephen P. O. Box 580 Fort Collins CO 80521 FORT0 02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 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. AUTHORIZED REPRGFNTATIVE \_ A