HomeMy WebLinkAboutRED BARON CONSTRUCTION - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE
DATE IMMIDDIYYYY)
03114/2006
PRODUCER
Brayton Insurance, Inc.
315 West Oak, Suite 710
P. O. Box 1488
Fort Collins CO 80522
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED David Baron
dba Red Baron Construction
1727 Rolling Gate Road
Fort Collins CO 80526
INSURER A: Continental Western Group
INSURER B:
INSURER C:
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 POLIOES 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
kDDL
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATIONIJMJL
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1A00,000
DAMAGE TO RENTED
250,000
A
X COMMERCIAL GENERAL LIABILITY
CNP 2515985-21
03/15/2006
03115/2007
CLAIMS MADE FX OCCUR
MED EXP (Anyoneperson)
$ 5,000
PERSONAL B ADV INJURY
$ 1,000,000
x $250 PD Deductible
_
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES
PER:
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY
PRO
LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Perperson)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
(Per accident)
$
LIABILITY
AUTO ONLY EA ACCIDENT
EA ACC OTHER THAN
,......ANYAUTi7-
MGAPAGE
-
_. _,.... _.-- _
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
OCCUR CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
WC STATU- OTH-
M
E.L. EACH ACCIDENT
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE -EA EMPLOYEE
OFFICERIMEMBER EXCLUDED?
E.L. DISEA E - POLICY LIMIT
If yes, describe under
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
413 South Bryan Avenue
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins, CO 80521
REPRESENTATIVES.
AUTHORIZED REPRESENTATIV
<DA>
ACORD 26 (2001108) 1 — / MCORD C-ORPORATICML 1988
The INA Financial Group, Inc.
INA of Colorado, Inc.
1550 17th Street
Suite 600
Denver, CO 80202
City Of Ft Collins - CLRS Parks Division
413 S Bryan Ave
Fort Collins, CO 80521
USA
USA
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