HomeMy WebLinkAboutDYNAMIC GARAGE DOOR - INSURANCE CERTIFICATE,&JAN, 31. 2005; 4.22PVFICACOMMUNITY FIRST INS
L1
Community First Insurance, Inc.
107S W Horsetooth Rd, Ste 100
Fort Collins, CO 90526
INSURED
ORA* DYNAMIC GARAGE DOOR
7935 Bayside Or
Fort Collins, CO 90528
NU, 4 yr, iMIWDINYYYY)
TY INSURANCE
01/31/2oo5
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 4
INSURER& Allied Group/Nationwide Mutual
00035
INSURERS, Pinnacol Assurance
]NSU"x C!
INSURER D;
INSURER B
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDINI
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES 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
MN
TYPE OF INSURANCE
POLICYNUMBER
ATEPOLICY EFFECTIVE
IMMbo=(III
02/06/2004
PCLJOY Ek TI )N
ffibreyl
02/06/2005
LIMITS
GENERAL LIABILITY
ACP7501490923
EAcHoccuRREmcE
% 1 pOO,p
X COMMERCIAL GENERAL. LIABILITY
DAMAOE TO RENTED
i 100.0001
CLAIMS MADE OCCUR
MED IMP (MY one Person)
S 5. 00
A
PERSONAL &ADV INJURY
S 1 000OO
GENPRALAGGREGATE
$ 2 00O OO
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000 O
POLICY JECT LOG
AUTOMOBILE
LIABILITY
ACP7501490823
02/06/2004
02/06/2005
COMBINED SINGLE LIMIT
ANYAUTO
(Eardene)
i 110001
BODILY INJURY
ALL OWNED AUTOS
X
SCHEDULEDAUTOS
(Per perwn)
!II
X
BODILY INJURY
i
HIRED AUT05
X
NON -OWNED AUTOS
(Par aocldeer)
PROPERTY DAMAGE
i
(Per atodon)
GARAGE LIABILITY
AUTO ONLY-EA.ACCIDENT
i
ANY AUTO
OTHER THAN EAACC
i
'
AUTO ONLY- AGG
EXCE5SAIMI&RELLA LUkN TIY
F,ACH OCCURRENCE
a
OCCUR CLAIMS MADE
MMREGATE
3
i
DEDUCTIBLE
i
RETENTION S
S
WORKER$COMPENSAPONAND
4088271 01/14/2005 01/14/2006
X wcsrAru- orH-
$
EMPLDYERS' LIABRM
ANY PROPRIETOWPARTNERIM(ECUTIVE
E.L EACH ACCIDENT
i 500,000
OPFN:ERDAEIASER EXCLUOft?
EL. DISEASE. EA EMPLOYE
i 5OO OO
II as, tleeddbe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMB
S 500.000
OTHER
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I ExCLU51 NS ADDED SY ENDORSEMENT 1 SPECIAL PROVISIONS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE
City of Fort Collins EXPIRATION DATE THEREOP, THE ISSUMG INSURER WILL ENDEAVOR TO NAIL
Operations Services Dept 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
53S Woad St BUT FAILURE TO MAIL SUCH NOTICE SHALL skPOSE N008usATION OR LIABILITY
PO BOX SAO I DP ANY KIND UPON THE INSURDRI TS ACCENTS OR REPRSSENTATNES.
Fort Collins, CO S0522-0580 _0VE .. J
ACORD 25 (2001/O8) FAX: 221-6707 OACORO CORPORATION 1988