No preview available
HomeMy WebLinkAbout124172 SOPER PEST CONTROL PHIL SOPER - INSURANCE CERTIFICATE8/19/2003 1:20 PM FROM: Fax TO: +1 (970) 2216707 PAGE: 002 OF 003 ACORDA1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNWY) O8/18/2003 PRODUCER (970) 484-2805 John C. Beckett 6 Associates, Inc. 220 Smith Street Ft. Collins CO 80524- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC9 INSURED Phil Soper DBA Soper Pest Control 3629 Woodridge Road Ft Collins CO 80524- INSURERA-EVANSONTON INSURANCE INSURERS PROGRESSIVE INSURANCE INSURERC.PINNACOL INSURANCE INSURER D. INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WTH RESPECT TO MICH THIS CERTIFICATE MAYBE 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 SHCMN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD' INSR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE(MMIDDIYY) POLICY EXPIRATION DATE(MM/DDIYY) LIMITS A GENERAL LIABILITY / / / / EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR CLO50300272 07/25/2003 07/25/2004 DAMAGE TO RENTED PREMISES Ea occurrence e 50,000 NED EXP(Any one person) $ 1,000 PERSONAL B ADV INJURY 5 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY JECT LOC PRODUCTS-COMPAT AGO 5 B AUTOMOBILE LIABILITY ANY AUTO 04507178-3 04/03/2003 04/03/2004 COMBINED SINGLE LIMIT (Eaaccident) $ 1,000,000 ALL OWNEDAUTOS / / / / BODILYINJURY X SCHEDULED AUTOS (Perpersonl $ HIRED AUTOS / / / / BODILY INJURY NON -OWNED AUTOS (Peraccldant) $ PROPERTY DAMAGE (Per accident) -e GARAGE LIABILITY AUTO ONLY -EAACCIDENT $ ANYAUTO I NO COVERAGE / / / / OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSAJMBRELLA LIABILITY NO COVERAGE / / / / EACH OCCURRENCE $ AGGREGATE S OCCUR CLAIMS MADE 5 DEDUCTIBLE / / / / $ RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4069644 06/08/2003 06/08/2004 X I ToRYLAMITS I I Eft E L. EACH ACCIDENT 5 loo,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEGIMEMBEG EYCLUDED7 If yes, describe under LL.LI�tAst-LA[MrLUYLIC 100,000 E.L. DISEASEPOLICYLIMIT ; 500, 000 SPECIAL PROVISIONS below OTHER NO COVERAGE DESCRIPTION OF OPERATIONS,LOCATIONSNEHICLES,EXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS ( ) — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT, BUT CITY QF FT. COLLINS FAILURE TO DO $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 117 N. MASON ST. INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE y FT. COLLINS CO 80522- 1CORD 25 (2001/08) ©ACORD CORPORATION 19HR pw.v IIVCIU[0(0108) 05 ELECTRONIC LASER FORMS ,INC .-(800)32-05H5 Page 1of2 8/19/2003 1:20 PM FROM: Fax TO: +1 (970) 2216707 PAGE: 003 OF 003 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACUKU ZO (ZUU11U8) 0,- INS025 (0108) 05 Page 2 of 2 ACOX.. CERTIFICATE OF LIABILITY INSURANCE DATE03 08/18/2018/2003 PRODUCER (9-M) 484-2805 John C. Beckett 6 Associates, Inc. 220 Smith Street Ft. Collins CO 80524- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Phil Soper DBA Soper Pest Control 3629 Woodridge Road Ft Collins CO 80524— INSURER A:EVANSONTON INSURANCE INSURER B: PROGRESSIVE INSURANCE INSURER C: PINNACOL INSURANCE INSURER D: INSURER E: 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. INSR LTR ADDT INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MWDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR CL050300272 / / 07/25/2003 / / / / 07/25/2004 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 11 50,000 MED EXP (Any one arson $ 1,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT I ILOC PRODUCTS -COMPIOP AGG It B AUTOMOBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS 04507178-3 04/03/2003 / / / / 04/03/2004 / / / / COMBINED SINGLE LIMIT (Ea accident) It 1,000,000 BODILY INJURY (Per Person) 6 X BODILY INJURY (Par accident) 9 PROPERTY DAMAGE (Per accident) 6 GARAGE LIABILITY ANY AUTO NO COVERAGE / / / / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ 8 EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ NO COVERAGE / / / / / / / / EACH OCCURRENCE $ AGGREGATE $ 8 Ii C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4069644 06/08/2003 06/08/2004 C 1� X, TW& LIIMITS OT E.L. EACH ACCIDENT 8 100,000 E.L. DISEASE - EA EMPLOYEE 5 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER NO COVERAGE DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 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 CITY OF FT. COLLINS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 117 N. MASON ST. INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE FT. COLLINS CO 80522- Q+&6i — ACORD 25 (2001/08) a ACORD CORPORATION 1988 CtTre INS025 (0108)A5 ELECTRONIC LASER FORMS, INC. - (800)327-0545 Page 1 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) * INS025(oi oe)m Page 2 of