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HomeMy WebLinkAbout123803 WRIGHT BALLARD CONSTRUCTION - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company If selection box Is not chocked. 6000 American Pky Madison, Wisconsin 53783-0001 Insured's Name and Address Agent's Name, Address and Phone Number (Agt/Dist.) Wright Ballard Construction, Inc. 6B21 Aaron Drive Lesa Ringkjob Fort Collins, CO 80521 375 E. Horsetooth Bldg, 6 Ste. 10o Ft. Collins, CO 80525 Thin certificate Is iaeued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend or alter the coverage affardad h., rho Th I-lo Can (net ad.....% .;* N P Of maurane b910w have been IlaO to the msrednmes anwe for the tlocumanlw lh recp¢ol to wbmh pv6 hnflwro may Le laauad ;;,: y: r .,• .•. pkrypeneBndicqtd norlNm6tandr, any requirement form or contemn of ^Y ccnlrecl or other a, may p¢naln pie ln,wano: anoNedb IhB dOd¢a tleaonnstl lterenas Y P udJOGI to all the l¢rmF.e%dob1o06, and wind,... O!aunh p011CIBs. TYPE OF INSURANCd POLICY NUMBER EFFECTIVE A EXPIPATION LIMITS OF LIABILITY Mp Dal, Yr Ho Mp Oa Yr btleh=ra! Mobilehomaownem Liability ScIavy tswy and Pmpmq• oamag, Boatowners Liability each occurrenc6 $ 000 Bodily Injury and Property Damage Each occurrence $ Personal Umbrella Liability '000 Bodily Ir{ury Ono Propany Co.", Each Occurrence $ Fann/Ranch Liability .000 Farm uabllQy a Peraoneafabliry each or,WrOnoo $ ,000 Farm Employers hleplllty taco occurrence $ Work&r& Compensation antl 000 Employers Liability Y 6l°at aacc.$ ),h Ac aetn Accld6nt ,000 DlBpaee-Eacn Eroplbym $ ,000 Dlaeate • Follcy Llmll $ )00 General Liability ® Commercial General , GBneralA rc m -e° $ - 2A00 000 Liability(occurrenpe) Prcduas• COmplated operation A rer ate 2,000,0o0 ❑ 05-X92387-05 12/22/2007 ,$ 12/22/2008 ParsonalchOAavedi,in El Each oaurrenre-,,,-_- $ 1,000 Opp coma a 10 Premlcec R¢med to You $ 100,000 Neacel Expen6e An On¢ Person) $ 5 0 Buaine&eowners Liability Ehch occurmne¢tt $ ,000 Aoyregate}t $ .000 Liquor Liability Common Cause unlit ,000 Automobile Liability Agpmgate umlt $ OOp Q Any Auto epdily lnlury -Eacn Person $ .000 ❑ All Owned Autda ❑ Scheduled Autos Bodily Injury - Each Accident $ ,000 © Hired Auto Property Damage $ 000 Q Nonowned Autos _ ❑ BOW, lnpryand Property Damage Cpmbin¢d $ Excess Liability ,pOO Q Commercial Blanket Excess M Each OccurrBnae/Aggregate $ ,000 Other (Miecellaneous Coverage&) DEBCFIPTIOIJ Fean110N8 /LOCAT10N9/ rn(.Lcs/flEBTflICTIONB/SP Certificate holder is added as Additional Insured. tn'$lntlividuziaPRnnOMaP%maelneufed CHO, ❑HaV6not eclatl to Ce co erect as emplgaea under tole policy. tt ProduclsCompleled Operation, aggroggt, Is equal to each ..`'''•".: 0m,roncel nt,rtl in pricy agpegate •eERiYFlbgT6:kQLDE(i�iiPj.4fdE/1Nd•.%1�CrBHESS�` t oKNOf=b . City of Fort Collins Should any Po'4 the above described licles be Cancelled before the e�Xepphallo� Purchasing Depaltment h I r�ata thereof, the company will endeavor to mail 3o days) wrlttan notice to the Certificate Holder named but failure to P.O. Box .580 Ft. Collins, CO 80522 mall such notice shall impose no obligation or liabitY, of any kind upon the company, its agents of representatives. - 0 days unless different number of days s town. ❑ This certifies coverage on the data of Issue only. The above described policies are subject to cancellation in conformity with their Fax If 221-6707 terms and by the lawn of the state of Issue. HTEr8aUE0 UT H gR0FEPRESS ,VC 01/24/2008 _•-yam-e } ME U-201 Ed. S/09 GertifiCate Holder Stock No. 0666a ROv, 7/02