HomeMy WebLinkAboutJON TURNER SHAW SIGN - INSURANCE CERTIFICATEACORND CERTIFICATE OF LIABILITY INSURANCE OPID
DATE (MMVDDIYY3
SHAWS-a
12/17/03
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency FC
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1614 Oakridge Drive, Unit A
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone:970-229-9304 Fa3c:970-229-1398
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A EMC Insurance - Companies
INSURER B: Pinnaaol AssurNssLca
Jon Turner
dba Sham Sign & Awning s, IaC •
901 SW Frontage Road
Ft Collins CO 80524
INSURER C:
INSURER D: - -
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.
LT R
WU'L
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDWM
POLICY EXPIRATION
DATE MMID
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 7OCCUR
X Blanket Add r l Ins
2D6041103
12/23/03
12/23/04
EACH OCCURRENCE
$1,000,000
PREMISES (Ea oocurence)
s300,000
MED EXP(Any one person)
$5,000
PERSONAL & ADV INJURY
$ 1, 000, 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY J C ED LOC
PRODUCTS - COMP/OP AGG
s2,000,000
Son.
2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
2E6041103
12/23/03
12/23/04
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
-
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AC.G
$
$
A
EXCESSIUMBRELLALIABILITY
X OCCUR F-1CLAIMSMADE
DEDUCTIBLE
X RETENTION $10, 000
2J6041103
12/23/03
12/23/04
EACH OCCURRENCE
$5,000,000
AGGREGATE
$5,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNEFUEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yyees, tlescdbe under
SPECIAL PROVISIONS below
1775682--BBB
07/01/03
07/01/04
X TORY LIMITS ER
E.L. EACH ACCIDENT
$ 100000
E.L. DISEASE - EA EMPLOYE
$ 100000
E.L. DISEASE -POLICY LIMIT
$ 500000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ALL OPERATIONS -ALL LOCATIONS
CERTIFICATE HOLDER CANCELLATION
FORTCOL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CITY OF FORT COLLINS
JOBN STEPHENS
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE I ENTS OR
256 W MOUNTAIN AVENUE
REPRESENTATIVES.
AUTHORED REPRESENTATIVE
FT. COLLINS CO 80521
Michael D. Pierce °
ACORD 25 (2001M) a ACORO