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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)