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HomeMy WebLinkAboutMODELCO ELECTRIC - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE 09/i%z 0 ) PRODUCER (303) 740-9404 FAX (303) 779-8376 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gaspar -Jones & Assoc., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7100 E. Bel leview #101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 4516 Greenwood Village, CO 801SS INSURERS AFFORDING COVERAGE NAIC# INSURED Modelco Electric Inc. INSURERA: Owners Insurance Co 32700 12844 E. 116th Ct. INSURERB: Henderson, CO 80640 INSURER C: INSURER D: INSURER E: nww A^mac THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN, 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 ADD'L INSDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE fMMfDDM1 POLICY EXPIRATION DATE fMM1ODYY1 LIMITS _L11L GENERAL LIABILITY 4S970984-03 09/01/2003 09/01/2004 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMIRPA (Pa $ 100 000 CLAIMS MADE F OCCUR MED EXP (Any one person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2' 000' 0Q X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN FA ACC $ ANY AUTO S AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OT (- LIMITS ORYEMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? yes, de under E.L. DISEASE -POLICY LIMIT 1 $ SPRO SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS "except for 10 days for non-payment / CDTICJI ATC LI^1 IICD ^Ak.^C1 1 wr1�k1 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, City of Fort Collins BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 281 N College OF ANY IOND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE Ron Jones CPCU ACORD 25 (2001/08) FAX: (970)224-6134 ©ACORD CORPORATION 1988