HomeMy WebLinkAboutFIREGUARD - INSURANCE CERTIFICATE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY)
rr 11/21/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PIKES PEAK INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT 'AMEND, EXTEND OR
7750 N Union Blvd. #201 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Colorado Springs, CO 80920
719 884-3617 719 884-3620 fax 1 INSURERS AFFORDING COVERAGE NAIC #
INSURED Fireguard INSURERA: ARCH
P.O. Box 1114 INSURER B: The Hartford
INSURER C:
Ft Collins CO 80522 INSURER D:
C(1VFRAC:FS ,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC TED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFIC TE 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
IkDD'L
N%Rn
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION,
LIMITS
-U&
GENERAL LIABILITY
EACH OCCURRENCE I
E 1,000,000
TO RENTED I
DAMAGEES (Fa oec,renr•,
E 100,000
A
X7 COMMERCIAL GENERAL LIABILITY
MFGL06547700
11103/2005
11103/2006
CLAIMS MADE O OCCUR
MED EXP (Any one erson
E 5,000
PERSONAL 8 ADV INJURY
$ 1,000 000
X E 8r O Included
X
$1,000 PD Ded
GENERAL AGGREGATE
E 2 000,000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS -COMP/Od AGG
s 2,000,000
X POLICY
F1 PRO- LOC'
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
E
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
E
HIRED AUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
E
OTHER THAN EA ACC
E
ANY AUTO
E
AUTO ONLY: I'I AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE'.
E
OCCUR CLAIMS MADE
AGGREGATE
E
S
E
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
X WC STATU- FR
E.L. EACH ACCIDENT
E 100,000
B
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE
O FFICERIMEMBER EXCLUDED?
20 WEC G13263
11/06105
11/03/06
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L. DISEASE - POLICY LIMIT
1 $ 100,000
MALPR uer
eVIndION Del.
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTq BUT FAILURE TO DO SO SHALL
Attn: Doug IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON'THE INSURER, ITS AGENTS OR
835 Wood REPRESENEMES.
Fort Collins, CO 80521 AUTHOR EPRESENTATrVE
1988