HomeMy WebLinkAboutJON TURNER INDUSTRIES SHAW SIGN - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURSHAOP WS-2 017 ANCE AWS R DATE6/17IYY 3
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 PQLICIES BELOW.
Fort Collins CO 80525
Phone: 970-229-9304 Fax: 970-229-1398 INSURERS AFFORDING COVERAGE NAIC #
INSURED
Jon Turner industries, Inc.
dba Shaw Sin & Awning
901 SW Frontage Road
Ft Collins CO 80524-8340
COVERAGES
INSURER A: EMC Insurance Comp
INSURER B: Pinnacol Assurance
INSURER C:
INSURER D:
v 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
FETIVMI
DATE
EXPIRATION
DATE MDDIIN
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X� OCCUR
2D6041103
12/23/02
12/23/03
EACH OCCURRENCE
$1,000,000
PREMISES(Eacccurence)
$300,000
MED EXP (Any one person)
s5,000
PERSONAL BADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X JECT LOC
PRODUCTS - COMPIOP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
2E6041103
12/23/02
12/23/03
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
$
$
A
EXCESSAIMBRELLA LIABILITY
X I OCCUR EICLAIMSMADE
DEDUCTIBLE
RETENTION $
2J6041103
12/23/02
12/23/03
EACH OCCURRENCE
s2,000,000
AGGREGATE
$2,000,000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, descnbe under
SPECIAL PROVISIONS below
1775682
07/01/03
07/01/04
X I TORY LIMITS ER
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLQYE
$100, 000
E.L. DISEASE -POLICY LIMIT
$ 5 0 0 r 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CITY OF FORT COLLINS
JOHN STEPHENS
IMPOSE NO OBLIGATION OR LIABILITY OF ANY �D?Uj��E S AGENTS OR
256 W MOUNTAIN AVENUE
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
A
FT. COLLINS CO 80521
Michael D. Pierce
ACORD 25 (2001/08) N 1988