HomeMy WebLinkAboutTOP GUN - INSURANCE CERTIFICATE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DA10/0DD 0
PGU-1 10/07/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone: 970-482-7747 Fax: 970-484-4165 INSURERS AFFORDING COVERAGE
INSURER A: Mountain St
INSURER B: Pinnacol As
Top Gun Pressure Washing Inc. INSURERC:
50U W 67th St INSURER D:
Loveland CO 80538
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
P LI EFFE TIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX] OCCUR
CPP007386403
10/21/03
10/21/04
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$100,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
17 POLICY PRO-
JECT LOC
PRODUCTS - COMPlOP AGG
$2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP007386403
10/21/03
10/21/04
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 OOO OOO
r r
BODILY INJURY
(Per person)
$
X
X
BODILY INJURY
(Peraccident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
EA ACC
OTHER THAN
AUTO ONLY: AGG
$
$
A
EXCESS LIABILITY
X OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10000
UMB007386403
10/21/03
10/21/04
EACH OCCURRENCE
$ 2000000
AGGREGATE
s2000000
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4031609
07/01/03
07/01/04
WC AaTFF
X TORY LIMITS ER
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
$ 50 0 O 0 0
E.L. DISEASE -POLICY LIMIT
1 $ 500000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSMEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
FTCCITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1_ DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing Department
PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 90522 REPRESENTATIVES.
- AUTHORIZED REPRESENTATIVE
ACORD 25-S