HomeMy WebLinkAboutTOWN COUNTRY PLUMBING - INSURANCE CERTIFICATEACORD.M L■ R>tiw� �L.:INSURl� 1� DATE IMM/DDNVI
10/20/2003
PRODUCER Vic Pawley THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Talbot-BHJ Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
5420 Yellowstone Rd Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 2698 COMPANIES AFFORDING COVERAGE
Cheyenne, WY 82003 COMPANY Ohio Casualty Group
307 632-6420 . fax307 632-6447 A
INSURED COMPANY Ohio Casualty Insurance Company
Town & Country Plumbing Inc B
144 S Main
COMPANY
C
Burns WY 82053
COMPANY
D
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMM/DDNY)
POLICY EXPIRATION
DATE (MM/DDNY)
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X�OCCUR
OWNER'S& CONTRACTOR'S PROT
BKW52988070
10/18/2003
10/18/2004
GENERAL AGGREGATE
s2,000,000
X
PRODUCTS - COMP/OP AGG
52,000,000
PERSONAL &ADV INJURY
a 1,000,000
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
3 100,000
MED EXP (Any one person)
$ 10,000
A
AUTOMOBILELIABILITY
BA052988070
10/18/2003
10/18/2004
COMBINED SINGLE LIMIT
5 1,000,000
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE 1$
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
B EXCESS LIABILITY BX052988070 10/18/2003 10/18/2004 EACH OCCURRENCE $ 1, 000, 000
X UMBRELLA FORM AGGREGATE $1,000, 000
I OTHER THAN UMBRELLA FORM I I $
X
wu ai Alu- U.,,
TORY LIMITS I I ER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
5
THE PROPRIETOR/
INCL
EL DISEASE - POLICY LIMIT
S
PARTNERS/EXECUTIVE
OFFICERS ARE:
EXCL
EL DISEASE - EA EMPLOYEE
5
OTHER
I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
City of Ft. Collins
P.O. Box 580
Ft. Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Bys notice UTFAILURE TO MAIL non-paymentor
BSUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
@ds#4522281 TOWN-2CY