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HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE (11)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID it DATE(MM/DD/YYYY) 1 WATCO-1 07 29/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Milne Scali & Company -Denver HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8310 S . Valley Highway- 3rd Fl ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80112 Phone : 3 0 3- 7 0 6- 9 7 0 0 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Auto -or ers Insurance Company 18988 INSURER B: Employers Compensation Ins Co Waterford Corporation T INSURER C: 404 North Link Lane Fort Collins CO 80524 INSURER D: ----- --- -- - - -- - INSURER E. :U V CKAU LZ) 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. LTR INSIR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDDIYY POLICY EXPIRATION DATE MMIDDfYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K OCCUR 45131778 06/23/05 06/23/06 EACH OCCURRENCE $ 1000000 PREMISES (Ea occurence) $50000 MED EXP (Any one person) $ 5000 PERSONAL &ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000__ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- 1-1 JECT LOG PRODUCTS-COMP/OP AGG s2000000 -" -- A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 45131778 06/23/05 06/23/06 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ $ OTHER THAN EA ACC AUTO ONLY: AG, $ A EXCESSIUMBRELLA LIABILITY X I OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $10000 45131778 06/23/05 06/23/06 ! EACH OCCURRENCE S 1000000 AGGREGATE $ 1000000 $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yyes, describe under SPECIALPROVISIONS below FN1122058 04/01/05 04/01/06 X TORY LIMITS ER E.L. EACH ACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYEE $ 10 0000 E.L. DISEASE -POLICY LIMIT -- 1 $500000 A A OTHER Equipment Floater Auto Ph s Damage 45131778 45131778 06/23/05 06/23/05 06/23/06 06/23/06 LeaseRent $60,000 COMP/Coll $250/$500 DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Purchasing Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Fax: 970-221-6707 215 N. Mason IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. I � r ©ACORD ACORD 25 (2001/08) i