HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE (12)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM DDIYYYY)
WATCO-1 04 04 06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Milne & BNC Insurance Services 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 -owners Insurance Company 18988
INSURER B: Rmployers Compensation Ins Co
Waterford Corporation INSURERC:
404 North Link Lane INSURER D:
Fort Collins CO 80524
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.
IN�K
LTR
RUU
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X� OCCUR
45131778
06/23/05
06/23/06
EACH OCCURRENCE
$ 3.000000
HEU
PREMISES(Ea occuurreence)
$ 50000
MED EXP (Any one Person)
$ 5000
PERSONAL &ADV INJURY
$1000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOG
JECT
PRODUCTS-COMP/OP AGG
$2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OW NED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
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: AGG
$
$
A
EXCESSIUMBRELLA LIABILITY
X I OCCUR CLAIMSMADE
DEDUCTIBLE
X RETENTION $10000
45131778
06/23/05
06/23/06
EACH OCCURRENCE
$ 1000000
AGGREGATE
$ 1000000
$
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
l yes,describe under
SPECIAL PROVISIONS below
FN0328013
04/01/06
04/01/07
X TORY LIMITS I ER
E.L. EACH ACCIDENT
$ 100000
--------
E.L. DISEASE - EA EMPLOYEE
$ 100000
E.L. DISEASE -POLICY LIMIT
1 $ 500000
A
A
OTHER
Equipment Floater
lAuto Ph s Damage
45131778
45131778
06/23/05
06/23/05
06/23/06
1 06/23/06
LeaseRent $60,000
1 Comp/Coll $250/$500
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CFRTIFICATF FItL nFR CANCFI I AI It IN
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: 9 7 0 - 2 21- 6 7 0 7
215 N. Mason
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522
REPRESENTATIVES.
AUTOO REP ESENTATIVE
ACORD 25 (2001108) ' - _ — � � I W AI.VKU L VKYVKAI IVK IV00