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HomeMy WebLinkAboutLINDEN PRESS - INSURANCE CERTIFICATE04/15/2005 13:50 3037765495
FIRST MAINSTREET INS
Aww- ''CERTIFICATE OF LIAMUTYINSUIkANCE
PAGE 01
DATE (MM1301YCM
04/15/2005
(PRODUCER (303)M'-S1Z2'- ''. '' ''FAX (303)776-S495' :'
First MainStreet' In5�ral4c� I
51Z 4th Avenue
P.O. Sox 847
Longmont, CO 90502
THIS, CERTIFICATE i5 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 AFFOkDING COVERAGE
NAIC #
RSURED Linden Press
Susie Cannon
223 South Howes Street
Fort Collins, CO SOS21
INSURERA: Travelers Insurance
INSURERB:
INSURERC:
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DAYS (MMRKW-YY.I
10/1S/2004
POLICY EXPIRATION
DATE MMMOdYl
10/1S/2005
LIMITS
A
GENERAL UABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
680-4892B366
EACHOCCURRENCE
$ 1,000 00
DAMAGE TO RENTED
S 300.0
LED EXP (Anyone person)
S S , 00
PERSONAL & ADV INJURY
$ 1,000,00(
CENERAL AGGREGATE
$ 2 , 000 IM
GENT. AGGREGATE LIMIT APPLIES PER:
POLICY ipVe; El LOC
PRODUCTS - COMIPIOP AGG
$ 2,000,00(
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NONAWNED AUTOS
680-499ZB366
10/15/2004
10/15/ZOOS
COMBINED SINGLE LIMIT
(Ee ecddent)
$ 1,000,00
BODILY INJURY
(Par penon)
$
X
BODILY INJURY
(Per wddent)
$
X
PROPERTY DAMAGE
(Per eccldMl)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
rESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCCURRENCE
$
AGGREGATE
$
$
$
S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PRDPRIETOR/PARTNERIEXECUTIV£
OFFICFPJMEMBER EYCLUDEDI
Ifyet. dMeMbe under
SPECIAL PROVISIONS Delw
WC SOBYTATU- OTH•
E,L EACH ACCIDENT
S
E.L. DISEASE -£A EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESM11,91ON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS AODED BY ENOORSEMENT I SPECIAL PROVISIONS
Certificate holder is listed as Additional Insured for General Liability
Project- P-971 Entrance Sign for Natural Areas
City of Fort Collins
Attn! Purchasing
PO BOX 580
Fort Collins, CO SOS22
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 CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO ODWOATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEPRESENTATIVCS,
AUTHORIZED REPRESENTATIVE I i '_ - -
ACORD 25 (2001108) FAX:t\ (970)221-6707 (PACORD CORPORATION 1988