HomeMy WebLinkAboutADVERTISING CONCEPTS ADCON - INSURANCE CERTIFICATEACORD. CERTIFICATE
OF LIABILITY INSURANCE
8/25106 °m'�"'
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4821 Wheaton Drive
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA: The Hartford Insurance
Advertising Concepts, Inc.
INSURERB: Fireman's Fund Insurance, Co.
dba Adcon Inc.
INSURER C: Pinnacol Assurance
3725 Canal Drive
INSURERD:
Fort Collins, CO 80524
INSURER E:
nnVFRAnFR
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
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY
ALTEYMMIDO YYI
POLICY
DATE MMID EXPIRATION
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
34UUNTX2812
07/01/06
07/01/07
EACH OCCURRENCE
$1 000 000
DAMAGE TO RENTEDPREMISES lEa occurrence)
$300 000
MED EXP (Any one person)
$10 000
PERSONAL &AOV INJURY
$1 000 000
GENERAL AGGREGATE
$2 00-0 000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY-X] PE OT LOC
PRODUCTS -COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
34UUNTX2812
-
07/01/06
07/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$1 r000 ,000
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
$
$
B
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
RDEDUCTIBLE
X RETENTION $ O
SSE77333011
07/01/06
07/01/07
EACH OCCURRENCE
$5 000 000
AGGREGATE
$5 00O 000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4020883
07/01/06
07/01/07
TATUOTH-
X TWO RCSLIMIT IER
E.L. EACH ACCIDENT
$1 OOO OOO
E.L. DISEASE - EA EMPLOYEE
$1 000000
E.L. DISEASE - POLICY LIMIT
$1 000 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
All Operations - All Locations
City of Fort Collins
300 Laporte Avenue
Fort Collins, CO 80521
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �' Q_ DAYS WRITTEN
E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IE NgABLICtATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001108) 1 of 2 #S356651/M351220
WIK
1
198E
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
AGORD 25-5 (2001105) 2 of 2 #S356651/M351220