HomeMy WebLinkAbout357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (7)ACORDrN CERTIFICATE OF LIABILITY INSURANCE
I DATE
�03-29-2006 I
PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
LEID FINANCIAL GROUP INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342560 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015 INSURERS AFFORDING COVERAGE
SAN ANTONIO TX 78265
INSURED
INSURERA:Hartford Casualty Ins Co
INSURER B:
INSURER C:
LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW
INSURERD:
820 MERGANSER DRIVE 406
INSURER E:
FORT COLLINS CO 80524
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.
WSR POIICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/VV DATE MM/DD/YY
A
GENERAL LIABILITY
COP MERCIALGENERAL LIABILITY
1I CLAIMS MADE IL X OCCUR
X li Business Liab
34 SBA PE5367
05/26/06 105/26/07
I'I EACH OCCURRENCE $1 r 000, 000
1 FIRE DAMAGE (Any one fire) s300r000
MED EXP (Any one person) $10 r 000
PERSONAL&ADV INJURY $1 r 000 r 000
GENERAL AGGREGATE s2,000,000
i
PRODUCTS - COMPfOP AGG s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY I I jECT I X LOC
AUTOMOBILE
LIABILITY
ANY AUTO I
COMBINED SINGLE LIMIT
(Ea accident) $
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person) $
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE $
(Per accident)
AGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
S
ANY AUTO
I
OTHER THAN EA ACC
AUTO ONLY: qGG
S
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR a CLAIMS MADE
S
$
DEDUCTIBLE
$
RETENTION $
WORXERS COMPENSATION AND
WC STATU- OTH-
TORV MITS R
E I... EACH ACCIDENT
3
EMPLOYERS' LIABILITY
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
!`FGTm ATF Wt1 IIFR I I ennrnnuer rNstmcn 1Ne11RFRrcrrcR CANCFI I ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
The City of Fort Collins
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Purchasing Dept
g p
Po BOX 580
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
Fort Collins CO 80522-0580
A ORI D R ESE_ NiATYI;
ACORD 25-S (7/97) 0 ACORD CORPORATION 1988