HomeMy WebLinkAboutPRODUCTION FRAMING PACIFIC FRAMING - INSURANCE CERTIFICATEAPAOP IFCORD CERTIFICATE OF LIABILITY INSURANCE CIF D DATE (MMI-1 11 17/VO4
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency GR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone: 970-356-1133 Fax: 970-356-4088 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A. National Fire & Marine Ins.
Production Framing Contractors
LLC and Pacific Framing INSURERB: Pinnacol Assurance
Contractors Group, Inc. INsuRERc.
c/o Steve Johnson
3 59 West 20th Street, #224 INSURER D:
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
P LI Y EFFE IVE
DATE MM/DD/YY
POLICYEXPIRATION
DATE MWODIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERALLIABILITY
CLAIMS MADE O OCCUR
72LP164473
08/24/04
08/24/05
EACH OCCURRENCE
$ 1 , 000 , 000
PREMISES(Eaoccurence)
$ 100,000
MED EXP (Any one person)
$ 1 , 000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
17 POLICY PROT LOC
JEC
PRODUCTS - COMP/OP AGG
s2,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
N/A
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
N/A
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EAACC
AUTO ONLY: AGG
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
N/A
EACH OCCURRENCE
$
AGGREGATE
$
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
M yes, describe under
SPECIAL PROVISIONS below
4022087
08/01/04
08/01/05
X TWU LIMITS ER
E.L. EACH ACCIDENT
$100.,000
$ 100 , 000
_
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$ 500 000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
FAX: 970-224-6134
CERTIFICATE HOLDER CANCELLATION
FT COLL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
281 North College Avenue
R SENT_
Fort Collins, CO 80522
THORRED REPR ENTATNE
ACORD 25 (2001108) "@ ACORD CORPORATION 1988