HomeMy WebLinkAbout254063 W L CONTRACTORS - INSURANCE CERTIFICATE (4)INSURANCE AGENCY LL
"Service is the Difference "
SINCE 1950
April 23, 2004
To: Certificate Holders of W. L. Contractors, Inc.
Please find attached a revised Certificate of Liability Insurance for W. L. Contractors,
Inc. Effective 05-01-04 we have replaced Liability, Automobile and Umbrella Coverage
for W. L. Contractors with Mountain States Insurance Group. This Certificate replaces
any Certificates issued for W. L. Contractors with effective dates of 01-01-2004.
Please feel free to give our office a call with any questions you may have.
Sincerely,
Lautenbach Insurance Agency, LLC
( �
ted Choice-
5721 SOUTH NEVADA ST. • LITTLETON, CO 80120 • DOWNTOWN LITTLETON • (303) 798-2534 • FAX (303) 798-2536
www.lautenbachinsurance.com
4C_C�D. CERTIFICATE OF
LIABILITY INSURANCE
DATE(MMIDDIYYYY)
5/l/2004
PRODUCER (303) 798-2534
Lautenbach Insurance Agency, LLC
�J yr
5721 S. Nevada St.
Littleton CO 80120
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 COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
W. L. Contractors, Inc., W. L. Equipment 6
6435 W. 55th Ave.
Arvada CO 80002
INSURER A: Mountain States Ins.
INSURERB:Safeco Business Ins.
Co.
INSURERC:
INSURER D:
INSURER E:
rnvconr_ce
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.
INSR
LTR
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
(MM/DDIYY)
POLICYEXPIRATION
DATE (MMIDD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE FRI OCCUR
CPP0098006
5/1/2004
5/l/2005
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occ rrence
$ 100,000
MEDEXP (Any one person
$ 10,000
PERSONAL 8 ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X JECT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALLOWNEDAUTOS
SCHEDULEDAUTOS
HIREDAUTOS
NON-OWNEDAUTOS
RAP0098006
5/1/2004
5/l/2005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGO
$
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR 7 CLAIMS MADE
DEDUCTIBLE
X RETENTION $10,000
UMB0098006
5/1/2004
5/l/2005
EACH OCCURRENCE
$ 8,000,000
AGGREGATE
$ 8,000,000
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
WC STATU- OTH-
TORLIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
B
OTHER Installation Floater
$500. Deductible
01-CE-714401-04
1/l/2004
1/1/2005
Location 1,000,000
ramp s Transit 500,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re: Annual Maintenance Contract
City of Ft. Collins
P O Box 580
Ft. Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001108) ® ACORD CORPORATION 1988
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