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HomeMy WebLinkAboutREEVES SPECIALTY SERVICES - INSURANCE CERTIFICATEAC4RD,, CERTIFICATE OF LIABILITY INSURANCE 03/10/DDIY08 PRODUCER (303)756-9909 FAX (303)756-8818 03RMATION THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keller -Lowry Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1777 S Harrison St #700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Heupel , Teresa INSURERS AFFORDING COVERAGE NAIC # INSURED Reeves Specialty Services, Inc. POBox 472585 NsuRERA Secura insurance Companies NSURERB: Owners Insurance Company 32700 Aurora, CO 80047 INSURERC: Pinnacol Assurance 41190 INSURER D: INSURER E. A B THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 06/29/2008 LIMITS GENERAL LIABILITY CP3127300 06/29/2007 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY 1.000,0o CLAIMS MADE [XX ] OCCUR DAMAGE TO RENTED $ 100, 00� MEDEXP(Anyon. pers.w X Blkt AI &Waiver PER ILE1037 05/05 $ 5,001 PERSONAL SADV IN URY $ 1,000,001 X Primary Non-Cont GENELA RAGGRE ATE $ 2,000, OOI GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 21000, OOI AUTOMOBILE LIABILITY 4609466100 10/19/2007 10/19/2008 $ X ANY AUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS (Ea accitlent) 1,000,00( BPDIILYINJURY $ SCHEDULED AUTOS Person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY Per accitlent) $ GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE A G HX DEDUCTIBLE RETENTION $ 10, WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFRCER/MEMBER EXCLUDED? If yes, tleecri.. untler OF OPERATIONS / City of Fort Collins POBox 580 Ft. Collins, CO 80522 ACORD 25 (2001/08) PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,00 Is BLANKET WAIVER I I E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT S 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. AUTHORIZED REPRESENTATIVE _ A p Troy Sibelius. [Tr ITMM ©ACORD CORPORATION 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 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 25 (2001108)