HomeMy WebLinkAboutVOGEL CONCRETE - INSURANCE CERTIFICATE (5)ACORU. CERTIFICATE OF LIABILITY INSURANCE DA MDDV Y
0611812004
'PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC #
[INSURED INSURERA. Plnnacol Assurance
Vogel Concrete Inc.
INSURER B:
1313 Blue Spruce Dr #B
INSURER C:
Fort Collins, CO 80524
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
IANY 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.
INSIR
LTR
ADD
Ng
TYPE OF INSURANCE
POLICY NUMBER
PDALTE(MMIDDIYYEOLICYI
PDATE MM/ODIYYN
LIMITS
I
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE MOCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PEEMISES Ea occurrence)
$
MED EXP (Any one person)
$
PERSONAL& ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
JECT
PRODUCTS -COMP/OP AGG
$
I
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
-
COMBINED SINGLE LIMIT
(Ea accident)
$
B
(Perer person)
$
BODILY INJURY
(Peraccidenl)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$ -
I
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $ -
EACH OCCURRENCE
$
AGGREGATE
$
$
$
IA
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXEOUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
2086850
01101/04
07/01/05
X TWOSTATULIMIT- OTH-
ER
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
. E.L. DISEASE - POLICY LIMIT
$500,000
I
OTHER
sDESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
I
City of Ft Collins Purchasing Dept
Attn: Jan
256 W. Mountain
Fort Collins, CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL - In DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
25 (2001108) 1 of 2 #S285325IM285322
CORPORATION 1988