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Home My WebLink AboutVOGEL - INSURANCE CERTIFICATE (8)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 2600 S. PARKER RD STE 1-117 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. 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, tern 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 Effective Expiration LIMITS OF LIABILITY 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 + + Aggregate + + Liquor Liability Common Cause Limit Aggregate Limit Automobile Liability ❑ Any Auto Bodily Injury - Each Person $ 1,000,000 Bodily Injury - Each Accident $ 1,000,000 ® All Owned Autos 05-X60979-46 1/1/2004 1/1/2005 Property 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/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS +The individual or partners shown as Insured *** elected to be 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 DEPT ATTN: JAN 256 W MOUNTAIN FT COLLINS CO 80521 ® 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 REPRESENTATIVE 12/30/03 I ��• �� VM"JiNAL - �Isrrrrrcate nornaer, wrrra to services, utsurea, Agent l Stock No. 06668