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Home My WebLink AboutVOGEL - INSURANCE CERTIFICATE (7)CERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company if selection box is not checked. 6000 American Pky Madison, Wisconsin 53783-0001 Agent's Name, Address and Phone Number (Agt./Dist.) Insured's Name and Address HAROLD F. LEE (127/305) VOGEL CONCRETE INC 2950 SO JAMAICA CT STE 100 1313 BLUE SPRUCE DRIVE B AURORA, CO 80014 FT COLLINS CO 80524 303-695-1040 This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amand- autond nr nitar tha rnvarana effnrrlarl hu 4hn ..rnrlr a Iln.ed hel..... COVERAGES --- -- - -- -- - This is to certify that 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. POLICY TYPE TYPE OF INSURANCE POLICY NUMBER LIMITS OF LIABILITY Effective Expiration Mo,Da ,Yr Mo,Da ,Yr Homeowners! Bodily Injury and Property Damage Mobilehomeowners Liability Each Occurrence Boatowners Liability Bodily Injury and Property Damage Each Occurrence Personal Umbrella Liability Bodily Injury and Property Damage Each Occurrence Farm/Ranch Liability Farm & Personal Liability Each Occurrence Farm Employer's Liability Each Occurrence Statutory ... . Workers Compensation and Each Accident Employers Liability+ Disease - Each Employee Disease - Policy Limit General Liability General Aggregate $ 2,000,000 ® Commercial General 05-X60979-13 1/1/2004 1/1/2005 Products - Completed Operations Aggregate $ 2,000,000 Liability (occurrence) Personal and Advertising Injury $ 1,000,000 ❑ Each Occurrence $ 1,000,000 ❑ Damage to Premises Rented to You $ 100,000 Medical Expense (Any One Person $ 5,000 Businessowners Liability Each Occurrence ++ AQqregate + + Liquor Liability Common Cause Limit AnnrAnnta Limit Automobile Liability Bodily Injury - Each Person $ 1,000,000 ❑ Any Auto F1/1/2005Property Bodily Injury - Each Accident $ 1,000,000 ® All Owned Autos 05-X60979-46 1/1/2004 Damage $ 1,000,000 ❑ Scheduled Autos Bodily Injury & Property Damage Combined ® Hired Autos ® Nonowned Autos Excess Liability Commercial Blanket Excess 05-X60979-15 1/1/2004 1/1/2005 Each Occurrence/Aggregate $ 1,000,000 Other (Miscellaneous Coverages) DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS + The individual or partners shown as Insured "` elected to be ADDITIONAL INSUREDS: CITY OF FT COLLINS covered as employees under this policy. ++ Products -Completed Operations aggregate is equal to each occurrence limit and is included in policy aggregate. CERTIFICATE HOLDER'S NAME AND ADDRESS CANCELLATION CITY OF FT COLLINS PURCHASING DEPARTMENT ATTN: JAN PO BOX 580 FT COLLINS CO 80522-0580 ® Should any of the above described policies be canceled before the expiration date thereof, the company will endeavor to mail'( 30 days) written notice to the Certificate Holder named, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. *10 days unless different number of days shown. ❑ This certifies coverage on the date of issue only. The above described policies are subject to cancellation in conformity with their terms and by the laws of the state of issue. DATE ISSUED AUTHORIZED REPRE 09/17/2004 nNTATIVE U_1V i Qu. varW UMMINAL - certmcate molder, cuPit_s to services, Insured, Agent I Q Stock No. 06668 CERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company if selection box is not checked. 6000 American Pky Madison, Wisconsin 53783-0001 Agent's Name, Address and Phone Number (Agt./Dist.) Insured's Name and Address: HAROLD F. LEE (127/305) VOGEL CONCRETE INC 2950 SO JAMAICA CT STE 100 1313 BLUE SPRUCE DRIVE B AURORA, CO 80014 FT COLLINS CO 80524 303-695-1040 This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend. extend or alter the coveraae afforded by the oolicies listed below_ ., t^. � a�aE This is to certify that 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. POLICY TYPE TYPE OF INSURANCE POLICY NUMBER LIMITS OF LIABILITY Effective Expiration Mo,Da ,Yr Mo,Da ,Yr Homeowners/ Bodily Injury and Property Damage Mobllehomeowners Liability Each Occurrence Boatowners Liability Bodily Injury and Property Damage Each Occurrence Personal Umbrella Liability Bodily injury and Property Damage Each Occurrence Farm/Ranch Liability Farm & Personal Liability Each Occurrence Farm Employer's Liability Each Occurrence Statutory Workers Compensation and Each Accident Employers Liability+ Disease - Each Employee Disease - Policy Limit General Liability General Aggregate $ 2,000,000 ® Commercial General 05-X60979-13 1/1/2004 1/1/2005 Products - Completed Operations Aggregate $ 2,000,000 Liability (occurrence) Personal and Advertising Injury $ 1,000,000 ❑ Each Occurrence $ 1,000,000 ❑ Damage to Premises Rented to You $ 100,000 Medical Expense (Any One Person $ 5,000 Businessowners Liability Each Occurrence ++ A re ate + + Liquor Liability Common Cause Limit F1/1/2005 Aggregate Limit Automobile Liability Bodily Injury - Each Person $ 1,000,000 ❑ Any Auto Bodily Injury - Each Accident $ 1,000,000 ® All Owned Autos 05-X60979-46 1/1/2004 Property Damage $ 1,000,000 ❑ Scheduled Autos Bodily Injury & Property Damage Combined ® Hired Autos ® Nonowned Autos Excess Liability ® Commercial Blanket Excess 05-X60979-15 111/2004 1/V2005 Each Occurrence/Aggregate $ 1,000,000 Other (Miscellaneous Coverages) DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS + The individual or partners shown as Insured ••• elected to be ADDITIONAL INSUREDS: CITY OF FT COLLINS covered as employees under this policy. + + Products -Completed Operations aggregate Is equal to each occurrence limit and is included in policy aggregate. . ` . 6 a t ." t r.., J... .,YrSw >rr i,� � �' , � Nw..u'G.P +c 4�s ® Should any of the above described policies be canceled before the CITY OF FT COLLINS expiration date thereof, the company will endeavor to mall •( 30 days) written PURCHASING DEPARTMENT notice to the Certificate Holder named, but failure to mall such notice shall ATTN: JAN AN impose no obligation or liability of any kind upon the company, its agents or PO BOX 580INS representatives. *10 days unless different number of days shown. FT COX CO 80522-0580 ❑ This certifies coverage on the date of issue only. The above described policies are subject to cancellation in conformity with their terms and by the laws of the state of issue. DATE ISSUED AUTHORIZED REPRE 09/17/201M nNTATIVE U-201 Ed. 05100 ORIGINAL - Certificate Holder, COPIES to services, Insured, Agent 1 Q Stock No. 06665