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HomeMy WebLinkAbout254063 W L CONTRACTORS - INSURANCE CERTIFICATE (5). -A ORD,_ CERTIFICATE OF LIABILITY INSURANCE �2/29/200 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lautenbach Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5721 S. Nevada St. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Littleton, CO 80120 P:303-798-2534 F:303-798-2536 INSURERS AFFORDING COVERAGE INSURED INSURERA: Auto -Owners Insurance CO. W. L. Contractors, Inc. INSURERB: American States Insurance 6435 W. 55th Ave. INSURERC: W.L. Job Number INSURER D: Arvada CO F80002- INSURER E: GC 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE imwnD1YY1 POLICY EXPIRATION DATE fMMIDDfYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE OCCUR ❑ 004632-74117045 01-01-2004 01-01-2005 FIRE DAMAGE (Anyone fire) $ 100,000 MED EXP (Any one Person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 ® $500. PD Decuctible GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ❑ ® POLICY PECiRO ❑ LOC AUTOMOBILE LIABILITY ANY AUTO LIMIT OMBINED a accident) ( $ 1, 000, 000 ED BODILY INJURY (Per Person) $ A ALL OWNED AUTOS SCHEDULEDAUTOS 42-117-045-00 01-01-2004 01-01-2005 ® HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ ® ❑ ❑ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY ® OCCUR Fr__11 CLAIMS MADE ❑ DEDUCTIBLE ® RETENTION $ 10,000 71684447 01-01-2004 01-01-2005 EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 $ E $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER H Installation Floater $500 Ded 01-CE-714402-04 01-01-2004 01-01-2005 Location 11000,000 Temp. &Transit 500,000 DESCRIPTION OF OPERATIONSA.00ATIONSIVEHICLESIEXCLUSIONS 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 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO ITS AGENTS OR ACORD ACORD. CERTIFICATE OF LIABILITY INSURANCE �2/E2(mg o PRODUCER Lautenbach Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5721 S. Nevada St. Littleton, CO 80120 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P:303-798-2534 F:303-798-2536 INSURERS AFFORDING COVERAGE INSURED W. L. Contractors, Inc. 6435 W. 55th Ave. W.L. Job Number INSURERA: Auto -Owners Insurance Co. INSURERB: American States Insurance INsuRERc: INSURER D: Arvada CO 80002- NSURER E: :UVtK 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/nDNY) 01-01-2004 POLICY EXPIRATION DATE jMM1DD1YY1 LIMITS A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ CLAIMS MADE F OCCUR ❑ 004632-74117045 01-01-2005 EACH OCCURRENCE $ 11000,000 FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL SADVINJURY $ 11000,000 ® $500. PD Decuctible GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: ❑ POLICY ®] PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO (Ea sn.cBlNED iden�INGLE LIMIT $ 1,000,000 A ALL OWNED AUTOS SCHEDULEDAUTOS 42-117-045-00 01-01-2004 01-01-2005 BODILY INJURY (Per person) $ lu HIRED AUTOSBODILY NON -OWNED AUTOS INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ ❑ ' GARAGE LIABILITY ❑ ANYAUTO ❑ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY ® OCCUR O CLAIMSMADE ❑ DEDUCTIBLE ® RETENTION $ 10,000 71684447 01-01-2004 01-01-2005 EACH OCCURRENCE $ 81000,000 AGGREGATE $ 8,000,000 $ $ WORKERS COMPENSATION AND WC STATUS OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER B Installation Floater $500 Ded 01-CE-714402-04 01-01-2004 01-01-2005 Location 1,000,000 Temp. & Transit 500,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Re: Contractors License CERT iFiCA l e HOLDEK I LJ I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 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 030 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 INSURER, ITS AGENTS OR ACORD 25S (7/97)