HomeMy WebLinkAbout220792 UPHAM UNLIMITED(DBA FLASH PORTABLE WELDING) - INSURANCE CERTIFICATE07/02/04 09:02 L A OLSON AGENCY INC LOVELAND CO 4 C F C
NO.056 (P@1
.CORD,,, CERTIFICATE OF LIABILITY
INSURANCE
=071'"'M°°""'01 aD4
PRIER (970) 669-9025
L A olaon Agency Inc
200 E , 7th St. Suits 120
Loveland CO 80537-
TH18 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
OLDER. THIS CERTTIIFICATE DOES UPON
AMEND. CERTIFICATE
OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
INSURERS AFFORDING COVERAGE
NAIL o
KNBURED
Upham Unlimited 14c. DO&
Flash Portable Welding
207 Z . Vine St.
Fort Collins Co 80524-
wsu1TERA:Union/continental Western
INBURER9:
1NSURERC:
INSURER D;
ml%MF--
THE POLICIES OF INSURANCE LISTED 13ELOW 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.
111+uR
LTR
TYPE OF INSURANCE
POLICY WYIIIBER
POLICY FFECiRVE
GATE
POLICY EXPIRATION
TE
UM1TS
A
GENERAL UADIUTN
! /
/ /
EACH OCCURRENCE
S 500,000
X OMIELGIALGENER�ALLI MILITY
CLAIMS MADE LJ OCCUR
CH22413729
02/16/2004
02/16/2005
�M E
S 100,000
MEO E%P py
y 51000
PERSONAI.&MN .NRY
s 500,000
_
OENFJULAGGREGATE
s 11000,000
GENT. AGGREGATE UNRT APPLIES
PER:
PRODUCTS- COMMP AGG
S 1,000,000
X PDucv M SO
F1 LOC
A
AUYOWWLE
UAHR TY
ANY AUTO
! f
f !
COMBINED SINGLE LIMIT
(EaL)
s 300,000
SOOILY INJURY
(Per p&wn)
S
ALL OWNED AUTOS
SCNEDULEDAUTOS
CW2413729
02/16/2004
02/16/2005
X
BODILY INJURY
(PuRodMeAK)
S
HIREDAU70S
N0N-OWNEOAUYOs
/ /
/ /
PROPERTY DAMAGE
(PwImeenQ
3
GARAGE LM,BYRY
LUT9 ONLY• EA ACCIDENT
5
OTHER THAN FAACC
S
ANY AUTO
/ I
I I
AUTO ONLY: AGGS
EXCES64ABRRELIA LIABIUTY
/ I
% /
H OCC NCE
S
OCCUR CLAMS MADE
-
AGGREGATE
$
5
DEDU TABLE
s
RETENTION M
WORKERS COMPENSATION AND
EMPLOYER$ UAIMLaT
ANY PROPRIETOP PARYNERIEMUTNE F.L. EACH ACCIDENT S
OFFICEAMFAIMER MLUDEM I / I I BA. DISEASE • EA EMPLOYEE S
M yes. ftmw Und&
SPECAL PROVL470NS CeMR E. DISEASE -POLICY LIMIT S
OTHER / / f /
!/ fr
MMRUFTION OF OPERA71DN&L)CA70NSNENICLE MCLU91ONS ADDED BY ENDORSEMENTMPECULL PROASIONS
( ) (970) 221-6707 9116ULD ANY OF THE ABOVE DESMMI) POUCIRs RE CAMCFALED GFFCRe THE
Attn'. JchA Steven PXPIRAWM DATE THEREOF, TWE 051A06 INSURER VALL 1 UMUOR To MAIL
_ DAYS WRITTEN NOTICE TO THE CER7IRCATE HOLDER NAMED TO THE LEFT, WIT
City of Fort Collins FAILURE TO 00 SO SHALL IMPOSE NO 09LICIATION OR LIARKM OF ANY 19NO UPON THE
INSURELITS R ENTA
P O Box 580 A e C
Fort Colline CO OOS22-OSSO
ACORD 25 (2001/") kjy. v 1a ACORO CORPORATION 1088
A INS029 (01081 5 ELECTRONIC LASER FORMS, INC. -(8001s27.os(s PS01 d2