HomeMy WebLinkAboutDUFFY CONSTRUCTION - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID $
DATE(MMIDDIYYYY)
DUFFY-1
01 31 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Johnston Insurance Agency
21 West Gregory Blvd.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Kansas City MO 64114
Phone:816-361-2423 Fax:816-333-4579
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: Cincinnati Insurance Co.
10677
INSURER B: Westport Insurance Corporation
Duffy Construction Co., Inc.
Ms. Kelly Duffy Wolf
7211 West 98th Terr #110
Oftrland Park KS 66' 12
INSURER C:
INSURER D:
ORIGINAL -
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
DATE MMIDD/YYI
DATE MMIDD/VY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERALLIABILITY
CLAIMS MADE X❑ OCCUR
CPPO2.03885
02/01/06
02/01/07
EACH OCCURRENCE
$ 1 , 000 , 000
PREM1 ES(Ea occurenos)
$ 100 000
MED EXP (Any one person)
$ 5 , 000
PERSONAL & ADV INJURY
$ 1 , 000 , 000
X
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY JECT
JECT LOG
PRODUCTS - COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CPA0903885
-
02/01/06
02/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 , 000, OOO
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESS/UMBRELLA LIABILITY
X OCCUR �CLAIMSMADE
DEDUCTIBLE
X RETENTION $
CPP0903885
02/01/06
02/01/07
EACH OCCURRENCE
s3,000 OOO
AGGREGATE
$3,000,000
$
$
B
WORKERS COMPENSATION. AND
ANY PROPRIETORIETOREMPLOYERS'LIABILITYWCX0026596-0
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
03/11/06
03/11/07
I TORY LIMITS ER
E.L. EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$ 1000000
E.L. DISEASE -POLICY LIMIT
$ 1000000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
FORC 001
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins
281 N. College Ave
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522-0588
REPRESENTATIVES.
A ORIZED ENT TIVE
ACORD 25 (2001108) - 0 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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