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HomeMy WebLinkAboutSMITH THOMAS - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 06/02/06 ""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CUSTOMER SERVICE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1-800-423-6789 __ALTER THE COVERAGE AFFORDED BY THE POLICIES_ BELOW._ INSURED SMITH,THOMAS R & KAREN M 1675 HEWLETT GULCH RD LIVERMORE CO 80536-9511 rnVFRAnFA INSURERS AFFORDING COVERAGE NAIC # INSURERA: PROPERTY & CASUALTY INS CO of HARTFORI 34690 INSURERS: INSURERC: INSURER D: 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. 7R POLICYNUMBER POLICY EFFECTIVE I POLICY EXPIRATION_ LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY �6 ' PREMISES (Eaoaurence • CLAIMSMADE OCCUR MED EXP(Any one person) RSONAL&ADVINJURY __ _ _ _ _ GENERAL AGGREGATE _ GEN'L AGGREGATE LIMIT APPLIES PER: -...,.1 PRODUCTS - COMP/OP AGG POLICY PRO• LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) X I ALL OWNED AUTOS 55PHF551651 03/21/06 03/21/07 SCHEDULEDAUTOS BODILY INJURY (Perperson) $250,000 HIRED AUTOS NON-OWNEDAUTOS (Beraccdent) $500,000 PROPERTYDAMAGE ;$100,000 (Peraccident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT j ANY AUTO OTHERTHAN EA ACC AUTOONLY: AGG EXCESSIUMBRELLA LIABILITY EACHOCCURREN_C_E AGGREGATE OCCUR L�CLAIMS MADE DEDUCTIBLE -�— -- - -- I RETENTION WORKERS COMPENSATION AND WCSTATU- OTH- Y IT EMPLOYERS' LIABILITY _ __ - ._...... ANYPROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT E.L. DISEASSEE-- FA EMPLOYEE --- -- — OFFICERIMEMBER EXCLUDED? j Ifyesdescribeunder El. DISEASE - POLICY LIMIT — SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS 88 FORD F250 1FTHX26H2JKB24266 IIa:LamIaaa CITY OF FORT COLLINS PO BOX 580 FT.COLLINS,CO 80522 ATTN BILL TOMERLIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE 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 AUTHORIZED REPRESENTATIVE COPY Page 1 of 2 Eol 1988.