HomeMy WebLinkAbout117101 VISION GRAPHICS INC - INSURANCE CERTIFICATE (6)SAGIFAX 719104 2:25PM EL) MUHRN'IQtlBIJ I vili PAGE 1
ACORD. CERTIFICATE OF LIABILITY INSURANCE
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0DATEMMI7/16/04
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ed Murray & Sons
P O Box 1388
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1904 Warren Av
Cheyenne, WY 82001
INSURERS AFFORDING COVERAGE
NAIC $
INSURED
INSURER A: Hartford Insurance Co.
Vision Graphics, Inc.
5610 Boeing Dr
Loveland, CO SOWS
INSURER B:
INSURER C:
INSURER D:
INSURER E
Cr1VPn AYSFR
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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION S AND CONDITIONS OF SUCH
POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NSR
TYPE OF INSURANCE
POLICYNUMBER
DATE MM DD IEFFECTIV
POLICY
DATE MM DD EXPIRATIONLIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERALLIABILI
CLAIMS MADEQOCCUR
34SBOPE7171
07/19/04
07/19/05
EACHOCCURRENCE
$1000DDO
PAMAGETOREccur
$100000
MED EXP(Anyoneperson)
$10000
PERSONAL & AOV INJURY
$1 000 000
GENERALAGGREGATE
$2000000
GEN'L AGGREGATE LIMITAPPUES PER:
POLICY PRO I
JECT
PRODUCTS-COMPIOPAG
$2WOMO
A
AUTOMOBILE
LIABILITY
ANYAUTO
ALLOWNEDAUTOS
SCHEDULED AUTOS
HI ED AUTOS
NON -OWN ED AUTOS
34UEQ1Z8421
07/19/04
07/19/05
COMBINED SINGLE LIMIT
$ 1000000
r r
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Peraccident)
$
X
PROPERTY DA MAGE
(Per accident)
$
GARAGE LIABILITY
ANYAUTO
AUTOONLY- EAACCIDENT
$
OTHERTHAN EA ACC
AUTO ON AGG
$
$
EXCESS/U M BE EL LA LIA B I LITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACHOCCURRENCE
$
AGGREGATE
$
S
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY ETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
34WEQNA2517
07/19/04
07/19/05
WCsiATU- orH-
E.L. EACH ACCIDENT
$100000
E.L. DISEASE - EA EMPLOYI
8100000
E.L. DISEASE -POLICY LIMI
$500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEM ENT /SPECIAL PROVISIONS
City of Fort Collins -
Atleniion: Ed Bonnette
SHOULDANYOFTHEABOVE DESCRIBED POLICIES BECANCELLED BEFORETHEEXPIRA
DATETHEREOF, THEISSUING INSURER WILL ENDEAVORTO MALL I D DAYS WRITTEN
NOTICETOTHECERTIFlCATE HOLDER NAMED TOTHE LEFT, BUT FAILURETO DOSOSHAI
IMPOS E NO OBLIGATION OR LIABI LITYOF ANYKIND UPON TH E INSURER, ITS AG ENTS OR
R EPR ES ENTATI V ES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001)08) 1 of 2 #S207194/M207188 VAL 0 ACORD CORPORATION 1980
IMPORTANT
If the certificate holder is an ADDMONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
ff SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the overage afforded by the policies listed thereon.
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