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Home My WebLink AboutSILVERCOOL JBLANCO - INSURANCE CERTIFICATEACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM DD YYYY) SILVCOO 09 21 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 INSURERA: Owners Insurance Company 32700 INSURER B: National Fire & Marine Silvercool Service Co. JBlanco Enterprise, Inc. dba I NSURERC: PinnaC01 Assurance 3242 S. Platte River Drive INSURER D: Englewood CO 80110 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. INS LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY XPIRA N DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 B X ICOMMERCIAL GENERAL LIABILITY 72LP158503 01/20/04 01/20/05 _UAMAGEmu PREMISES(Eaoccurence) $ 100,000 CLAIMS MADE h OCCUR MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $1,000,000 rGENWLGREGATE GENERAL AGGREGATE $ 2,000,000 LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 ICYF_I PRO LOC JECT A AUTOMOBILE X LIABILITY ANY AUTO 4487448700 01/20/04 01/20/05 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG ! EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ . DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TORY LIMITS ER C EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 4076928 , 10/01/04 10/01/05 E.L. EACH ACCIDENT $500000 E.L. DISEASE•EA EMPLOYEE $ SOOOOO If yes. describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500000 I OTHER A Property Section 044732-74000117-04 01/20/04 01/20/05 Property $150,000 A Install/Builders R 044732-74000117-04 01/20/04 01/20/05 1 Install $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION FORT0 0 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYSWRITTEN Fax: 1- 3 0 3 - 2 21- 6 7 0 7 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL John Stephen P. O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. AUTHORIZED REP?FCFNTATIVE ACORD 25 (2001108) 1 J W ZURD CORPORATION 1 VUB