HomeMy WebLinkAboutPARADIGM ASBESTOS - INSURANCE CERTIFICATEDATE (MMIDDIYY)
ACORD,,, CERTIFICATE OF LIABILITY INSURANCE 03/13/2008
PRODUCER (303)694-6466 FAX (303)694-0553
Commercial Insurance Services
6143 South Willow Drive
Suite 330
Greenwood Village, CO 80111
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED Paradigm Asbestos, LLC
303 South Santa Fe Ave
Pueblo, CO 81003
INSURERA'. Everest Indemnity Insurance Co
INSURER B'.
INSURER
INSURER D'.
INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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,
—EFFECTIVE
ISR
LTR
TYPE OF INSURANCE
POLICY NUMBER
—POLICY
DATE MMIDDM
POLICY EXPIRATION
DATE MMIDDNY
LIMITS
GENERAL LIABILITY
000006824071
06/28/2007
06/28/2008
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one tire)
$ 50,000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$ 5,000
CLAIMS MADE O OCCUR
PERSONAL &ADVINJURY
$ 1,000,000
A
GENERAL AGGREGATE
$ 1,000,000
GENE AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGG
$ 11000,000
POLICYPRO- LOG
ECT
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EAACC
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
A U-
TORY LIMITS ER
E.L. EACH ACCIDENT
$
EMPLOYERS' LIABILITY
E.L. DISEASE EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
t is hereby understood and agreed that the City of Ft Collins is listed as additional insured as their
interest may appear as regards to General Liability.
E: Bid 6096
UCK I IrIUA I M FIULUCR I A I AUDIIIUNALINJUttGJ:INSVKCKLGIIMM: 1----^••-^
City of Ft Collins
Purchasing Department
PO Box 580
Ft Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE $HALL IMPOSE NO OBLIGATION OR LIABILITY
ITS AGENTS OR REPRESENTATIVES.
25-S(7/97) FAX- C9701221-6707
Li
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.