HomeMy WebLinkAboutCOLORADO MOSQUITO CONTROL INC - INSURANCE CERTIFICATEDATE (MM/DDIYYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE o1�10�zooa
--- - ... i-...A I. r TULc rPRTlrlrATE 19 ISSUED AS A MATTER OF INFORMATION
Weisburger Insurance Brokerage
Div of Program Brokerage Corp
333 Westchester Ave - Ste E102
White Plains NY 10604
DBA Advanced Pest Mgmnt of Co Inc
695 North 7th Ave
Brighton CO 90601
ONLY AND
HOLDER 7
INSURERS AFFORDING COVERAGE
INSURERA *StarNet Insurance C
INSURER B
INSURER C
INSURER E
EXTEND OR
NAIC S
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDIN
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
DD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXU BATON
LIMITS
INTSDR
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE M OCCUR
PSP0000040-04
01/01/2008
01/01/2009
EACH OCCURRENCE
$ 2,000,000
DAMAGE PRFMIqFqTMREMTEDnoa)
$ 100,00
MED EXP (Any one person)
$ 5,000
PERSONAL S ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS COMP/OP ADD
$ 2r000,000
GEN L AGGREGATE LIMIT APPLIES PER
X POLICY jECT LOC
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per am dent)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTOONLY EAACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY ADD
$
$
EXGESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
It yes describe under
SPECIAL PROVISIONS below
WC STATU OTH
MITSF
EL EACH ACCIDENT
$
E L DISEASE EA EMPLOYE
$
EL DISEASE POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
HE CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO PEST CONTROL SERVICES PERFORMED BY
HE ABOVE NAMED INSURED (ATIMA) APPLIES TO GENERAL LIABILITY ONLY
City of Ft Collins
James B O Neill Purchasing Director
215 N Mason St
R O Box 580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES
ACORD 26 (2001/08) VAL:UKU UUK V V KA I IV K T B66
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
ACORD 26 (2001/08)