HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE (7)WATCO-1 09 07 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-Oenar■ Iasuxanea Company
1$9$$
INSURER B: employers compensation Ins cc
INSURER C:
Waterford Cgrporation
404 North Link Lane
Fort Collins CO 80524
INSURER D:
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.
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD
POLICY EXPIRATION
DATE MWDD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X❑ OCCUR
45131778
06/23/06
06/23/07
EACH OCCURRENCE
$ 1000000
PREMISES (Ea occurence)
$ 50000
MED EXP(Anyone person)
$ 5000
PERSONAL 3 ADV INJURY
$1000000
GENERAL AGGREGATE
$ 2000000
GENT AGGREGATE LIMIT APPLIES PER:
17 POLICY PRO-
JECT LOC
PRODUCTS -COMPIOP AGG
a 2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
45131778
06/23/06
06/23/07
COMBINED SINGLE LIMIT
(Ea accident)
a 1000000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY- EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMSMADE
DEDUCTIBLE
X RETENTION $10 0 0 0
45131778
06/23/06
06/23/07
EACH OCCURRENCE
$ 1000000
AGGREGATE
$ 1000000
a
$
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
FNO 3 2 8 013
O 1 0
0 4 / / 6
04/01/07
X TORY LIMITS I I ER
E.L. EACH ACCIDENT
$ 100000
E.L. DISEASE - EA EMPLOYEE
$ 100000
E.L. DISEASE -POLICY LIMIT
$ 500000
A
A jAuto
OTHER
Equipment Floater
Ph s Damage
45131778
45131778
06/23/06
06/23/06
06/23/07
06/23/07
LeaseRent $60,000
Comp/Coll $250/$500
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
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: 970-221-6707
215 N. Mason IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522 REPRESENTATIVES.
ACORD 25 (2001/08)