Loading...
HomeMy WebLinkAboutVARSITY CONTRACTORS - INSURANCE CERTIFICATEOP ID DATE (MMIDOIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE VARSI-1 09 21 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Premier Insurance - IF ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Formerly McDonald InsurSery HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 50340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Idaho Falls ID 83405 Phone: 208-522-1260 Fax:208-522-1267 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Contlnsntal Casualty Coaoanv INSURER B:_ Tranaportatton Insurance Co. 00343 Var8ltyY Contractors, Inc. INSURERC: American CasualtyCo Don Aslett Inc. etal PO Box 1691 INSURER D: Pocatello ID 83204 -- INSURER E: _ 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MMIDD LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GL249224800 09/01/04 09/01/05 EACH OCCURRENCE $ 1 000 O00 DAMAGE TO RENTED PREMISES Ea occurence $ 190I_000_--- CLAIMS MADE EX OCCUR MED EXP (Any one person) $ 5 , 000 PERSONAL 6 ADV INJURY $1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000 POLICY 7X, JECT LOC_� B AUTOMOBILE LIABILITY ANY AUTO BUA2049224814 09/01/04 09/01/05 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ 5 DOO 000 A OCCUR CLAIMSMADE 2076434402 09/01/04 09/01/05 AGGREGATE $ 5 DUD 000 $ _ .1 $ DEDUCTIBLE $ X RETENTION $10 000 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC249224795 ANY PROPRIETOR/PARTNERIEXECUTIVE 09/01/04 09/01/05 TH- TORY LIMITS X ER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE -EA EMPLOYEE $ 1000000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 i OTHER C Crime TCP2076339810 09/01/04 09/01/05 Limit $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS All coverages are subject to policy forms, conditions and exclusions. City of Fort Collins is additional insured for General Liability but only with regard to services provided by the insured. CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Director of Purchasing PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE / Kandace L. Ke ler ACORD 25 (2001/08) © ACORD CORPORATION 1988