HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE (10)08/01/2005 14:49 FAX
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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE(MWDDmrY)
_ SEAT..-1 07 29 05
PRODUCER
THIS CEP, FIFICATE 18 ISSUED AS A MATTER OF INFORMATION
ONLY ANI1 CONFERS NO RIGHTS UPON THE CERTIFICATE
Milne SCali S. Company -Denver
8310 S. valley Highway- 3rd F1
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER TF E COVERAGE AFFORDED BY THE POLICIES BELOW.
Englewood CO 80112
Phone:303-706-9700
INSURERS %FFORDINGCOIrEPAGE
INSURER A: A.pTn...2... C®P.,
NAIC0
19988
INSURED
INSURER B: S.pi.T.i. CLVPea, Aeee. E.. m
Waterford CID rri7pCoration
FortNCollins COL 80524
INSURER
INSURER D: _
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE F ]LICY PERIOD INOICA I ED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHI :H THIS CERTIFICATE MA" BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE: MI EXCLUSIONS AND CC NDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJM5.
LTRW*m
NINE
TYPE OFINSURANCE
POLCY NUMBER
BAT[ u I
SAE Mw
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1000000
PREMISE wwwrwm)
S 50000
A
X COMMERCIALGEIJERALLIABILITY
45131778
061
06/23/0(
CLAIMS MADE OCCUR
_
IAED EXP(Any we pomp.)
S 5000
PERSONAL B AW INJURY
$1000000
GENERAL AGGREGATE
S 2000000
s2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMPIOP AGG
POLICY 71 j LOC
—
A
AUTOMOBILE
LIABILITY
ANY AUTO
45131770
06/23/1
-06/23/0F,
GOMBINED SINGLE LIMIT
IEexod..q
$1000000
X
-
IIODILY INJURY
,Per wwnl
ALL OWNED AUTOS
5CHEDULEDAGTOS
$
X
HIREDAUTOS
NONOWNEOAUTOS
RODILYINJURY
,Ptt EccWe.I)
S
X
PROPERTY DAMAGE
Per ... dent)
$
-,_
GARAGE LWBILITY
AUTO ONLY• EA ACCIDENT S
ANY AUTO
OTHER THAN EAACC 5
.INTO ONLY GOS
EXCF_SSIUMBRELLA LIABILITY
✓ACHOCCURRENCE
51000000
A
X OCCUR CLAIMSMADE
43131778
06/23/0L
06/23/Oli
a 1000000 _
AGGREGATE
DEDUCTIBLE
S
X RETENTX)N $ 10000
S
H
WORKERS COMPENSATION AND
EMPLOYERS'LIABWTT
ANY PROPRIETOMPARTNEWE%ECUTIVE
OFFICEWMEMBEREXCLUDEDP
FN1122050
04/01/w
04/01/01;
X'TOpY UMITs ER
21,EACH ACCIDJRIT
$ 100000
—
-1. DISEASE - EA EMPLOYEE
S 100000
NyyeeE neaffieunder
SPE6IALPROVISIONS belew
3,LDISE,SE-POLICY LIMIT
$500000
OTHER
A
Equipment Floater
45131778
06/23/0'1
06/23/01;
LeassRent $60,000
A
Auto Ph s Dam. a
45131778
06/23/0.!
1 06/23/0 LL
COMP/Coll $250/$500
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL Pi :WISIONS
City of Port Collins
Purchasing Division
Fax: 970-221-6707
215 N. Mason
Fort Collins CO 80522
12ITYYIIR I SHOULD ANI OF THE ABOVE DES( RIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
DATE THERE W, THE ISSUING INSVREF: WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO TIS CERTIFICATE HI NAMED TO THE LEFT, OUT FAILURE TO DO SO SHALL
IMPOSE NO (BUGATION OR LIASJ.ITY OF ANY WNO UPON THE INSURER, ITS AGENTS 0R
REPRESENT,