HomeMy WebLinkAboutNEWELL BROS - INSURANCE CERTIFICATE (2)AiC RD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE (MM/DD YYVYI
NEWEL-1
01 26 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LEIN Insurance Agency-GR
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th Street Suite 224
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone: 970-356-1133 Fax: 970-356-4088
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Bituminous Casualty Co
INSURER B: Plnnacol Assurance
INSURER C:
Newell Bros . , LLC
2121 1st Avenue Suite B
Greeley, CO 806h
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYMM DD/YEFFECTIVE
ON
PDATE(MM/DD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLP3218318B
09/17/05
12/21/05
PREMISES Ea occurence)
$100,000
CLAIMS MADE Lj] OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
CAP3501026B
09/17/05
12/21/05
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 , 000 , 000
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
EXCESWUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR ❑ CLAIMS MADE
N/A
AGGREGATE
$
a
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
3454167
05/01/05
12/26/05
X TORY LIMITS I I ER
E.L. EACH ACCIDENT
$100 000
r
E.L. DISEASE - EA EMPLOYEE
$ 100 , 000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE -POLICY LIMIT
--
$500 000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / 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
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FTCOLLI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
City Of Ft . Collins
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Jan
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. BOX 580
REPRESENTATIVES.
Ft. Collins, CO 80522
AU RIZ REPRES
wv�l, LV 1LVV INOI V ACORD CORPORATION 1988
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.
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