HomeMy WebLinkAboutR T INSTALLATIONS - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MMIDD/YYYV)
RTINS-1
06 16 06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Henderson Insurance Agency Inc
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7395 E Orchard Rd -Ste A100
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greenwood Village CO 80111
Phone:303-706-1000 Fax:303-799-1228
INSURERS AFFORDING COVERAGE
NAICIt
INSURED
INSURER A.* Truck Insurance Exchange
INSURERS:
INSURER C:
R T Installations Inc.
1649 E. 83rd Drive
Denver CO 80229
INSURER D:
INSURER E:
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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
U'Li
REJ
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE M1WD
POLICY EXPIRATION
DATE M
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
$
PREMISES Ea occurence
$
MED EXP (Any one Parson)
$
PERSONAL B ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 7 jE LOC
PRODUCTS • COMP/OP AGG
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per Perscn)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY • EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGO
$
$
EXCESSNMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
S
S
$
$
A
WORKERS COMPENSATION AND
EMPLOYERV LIABILITY
ANY PROPRIETORMARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes describe under
SPECIAL PROVISIONS below
A0408-68-59
07/01/06
07/01/07
WC 3TXT077-70TFI7
X TORY LIMITS I I ER
E.L. EACH ACCIDENT
$ 100000
E.L. DISEASE • EA EMPLOYE
S 100 0 00
E.L. DISEASE • POLICY LIMIT
1 $ 5000 00
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
City of Fort
John Stephen
117 N. Mason
PO Sox 580
Fort Collins
CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK)!
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MALL 30 DAYS WRITTEN
Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
CO 80522 AUTOO
ACORD 25 (20011081
i L_T:T:7