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HomeMy WebLinkAboutNEWELL BROS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D NEWEL-1 DATE(MM/DD/YYYY) cu 27 e5 PRODUCER LEN Insurance Agency-GR 3459 W 20th Street Suite 224 Greeley CO 80634 Phone:970-356-1133 Fax:970-356-4088 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 Newell Bros . , LLC 2121 1st Avenue Suite B Greeley, CO 80631 INSURER A: Bituminous Casualty CO INSURER B: Pinnacol Assurance INSURER C'. 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, LTRINSRD TYPE OF INSURANCE POLICY NUMBER DATEPOLICYMFFECTIVE M/DDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurence) $100,000 A X COMMERCIALGENERALLIABILITY CLP33196780B 09/17/04 09/17/05 CLAIMS MADE [K OCCUR MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY E 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG s21000,000 POLICY PRO- LOC JECT A AUTOMOBILE LIABILITY ANY AUTO CAP3196781B 09/17/04 09/17/05 COMBINED SINGLE LIMIT (Ea accident) E 1 , OOO , O0O BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO N/A OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE N/A AGGREGATE $ E $ DEDUCTIBLE $ RETENTION E B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/P.ARTNERi[XECUTIVE 3454167 05/01/05 05/01/06 X TORY LIMITS ER E.L. EACH ACCIDENT $100 000 / E.L. DISEASE - EA EMPLOYEE $ 100,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ 500 , 00O OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY, BUT ONLY WITH RESPECTS TO LIABILITY ARISING OUT OF THE INSUREDS OPERATIONS. FAX: 970-221-6707 FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL EMAIL 30 DAYS WRITTEN City of Ft. Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE swumAttn: Jan P.O. Box 580 Ft- Collins, CO 80522 AUTHCYUZED REPRESE TATNE ACORD 25 (2001/08) © ACORD CORISORATIOIY 19RR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)