HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (2)ACORQ CERTIFICATE OF LIABILITY INSURANCE
Colorado Bit Insurance Agency, Inc
1075 W Horsetooth Rd Ste 106
Fort Collins CO 80526
NmInED Anlance Protection L
PO Box 2401
Ft Collins, CO $0522
Is IS8
3 NO
INSURERS AFFOR0811G COVERAGE
INSURERA. Everest Indsmity I6
INSURERS. Pinnacol Assurance
I INSURER E
..OVERAGES
OATE (IYYOOIYYYY,
NAIC to
FHE PODU4tS OF INSURANCE LISTED BELOW HAVE SEEN 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 OESCREIED HEREIN LS 3U6JCCT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LJMTTS SHOWN MAY HAVE BEEN REDUCED BY PAR) CLAIMS
I
TYPE OF INSuRAMCE
POLICY MISSION
POLICY FFFEC7IVE
IJDY 'NATION
A
cBNTltALLIAanJTv
X CONNERCN1.6ENEIMLNBILITY
wan MADE M OCCUR
SIGL000975071
07/13/2007
07/13/2008
EACHoCCURRENCE
: 1,000,
MMBETO RENTED
MPUAFn
$ $0,
i 5 .000
MED EXP WW orePBYfoAj
PERSONAL &ACV INJURY
$ 1, DOD .000
GENERAL AGGREGATE
S 2,000 000
GEWL AGGREGATE LSRT APPLIES PER
POLICY M LOC
PRODUCTS COUPNLPAGG
S 1,000,00
AVTOMDMELIPWIITY
ANYAITO
ALL OWNED AUTOS
SCHEDULED MITOS
HIRED AUTOS
NON-0WNEDAUTOS
COMBINEDSNOLELWIT
(Eae (IOH1
S
BODILY .m RV
(PmR.�+1
$
BOOBY INJURY
(Pwsoodw$I
$
PROPERTY DAUAGE
Rodden0
i
OARAOE LIABILITY
ANY AUTO
AUTOONLY FAA=MENT
S
OTHER THAN EAACC
AUTO ONLY AGO
$
S
W(OBSMMORELLA LAABIDTY
OCCUR FICLARM MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
S
$
i
$
B
WORNIiLS COMPENSATION AND
EMPLOYERS' UASRJTY
ANYPROPRIETOFwARTNMexECUTryE
OFFICE MEMBER EXCLUDED
SIy LALPROISIO
SPECML PROVISIONS OBIPN
4064IL45
0 01/2008
O1/01/200
X W ^N' TM
EL EACHACCIOENT
S 1 000,00
E.L DLaEnsE EA-EMPLOYSE
$ 1,000,00
EL DISEASE POLICY LMR
$ 11000,
CTH6R
OmNRPtmN OFOPERATmRI ISIL TNSIVEHKXWIEKCWSIMMAWMIWENDORSE&VoffISPBC1ALrRDVNNMU
We certificate holer is named as an Additional Insured with respect to the ongoing operations
If the Named Insured on the General Liability only
City of Fort Collins
Finance 8 Purchasing Department
Attn Christine Jarvis
215 N Mason St , Second Floor
PO Box 590
Fort Collins CO AOS22-0590
SNONLD ANY OF THE ANOVS UMBERS) POLKNO BE CANDIeUM DEPDFm THE
EXPIRATION DATE THEREOF THE MBU NG MURFR M L ENDEAVOR TO SAIL
30 DAVS WRRTIN NOTLCETO TNECERTFIDATE HOLDBR KA M TO THE LEFT
BUT FAILURE TO MAIL SUCH NOMSSHALL RPO311 NO OBLIGATION OR LJABILIfY
ACORD 25 (2001108)
Z00/400d W6B5 EO 800Z U qOd 4EZZLEOLU xej 3mnsw A9-00FRIOl(I'I
1988
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 cemfkate 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 oWiicate holder nor does it
affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon
ACORD 25 (2001108)
Z00/Z00d ad69 E0 800Z Zl qaj IEZZL9ZOL61, x¢j 3mnsw Mg-oawnim