HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE (3)Client# 58852
WATCOR
ACORD CERTIFICATE OF LIABILITY
INSURANCE
DATE IMMIDDn1T
3/18/08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp
700 Broadway Suite 1000
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Denver CO 80203
303 837 8500
INSURERS AFFORDING COVERAGE
INSURED
Waterford Corporation
404 N Link Lane
INSURER Auto -Owners Insurance Group (CL)
INSURER Pmnacol Assurance
Fort Collins CO 80523
INSURER C
INSURER
INSURER
COVERAGES
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
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE M V
POLICY E%PIRATION
D
LIMITS
A
GENERAL LIABILITY
0446327413177807
06/23/07
O6/23/08
EACH OCCURRENCE
$1 00O 000
FIRE DAMAGE (Any one fire)
$50000
X COMMERCIALGENERALLIABILITY
CLAIMS MADE1XI OCCUR
MED EXP(Any one person)
$5000
PERSONAL B ADV INJURY
$1000000
GENERAL AGGREGATE
s2,000,000
I
GEN L AGGREGATE LIM ITAPPLIES PER
(PRODUCTS COMPIOPAGG
$2000000
POLICY F7 PRC'T LOD
A
AUTOMOBILE
LIABILITY
ANY AUTO
0446327413177807
06/23/07
06/23/08
COMBINED SINGLE LIMIT
(Ea accMent)
$1 000 000
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
HIRED AUTOS
NON OWNED AUTOS
II
BODILY INJURY
(Per acadenp
X
PROPERTY DAMAGE
(Pe awdenl)
$
GARAGE
LIABILITY
AUTO ONLY EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGG
A
EXCESS LIABILITY_
X OCCUR CLAIMS MADE
0446327413177807
06/23/07
06/23/08
EACH OCCURRENCE
AGGREGATE
$1 000 000
$1,000,000
$
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS LIABIDTY
4105522
06/01/07
06/01/08
X WC STATU OM
V IMI
EL EACH ACCIDENT
$1 000000
EL DISEASE EAEMPLOYEE
$1 000000
EL DISEASE POUCYLIMIT
$1 OOOOOO
OTHER
DESCRIPTION OF OPERATIONWLOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CANCELS AND REPLACES CERT #526514 DATED 11/13/07
As required by written contract or written agreement City of Ft Collins its officers
agents and employees are included as Additional Insureds for ongoing operations under
General Liability with respect to the above referenced
10 Notice of Cancellation for non payment
City of Ft Collins
Attn Purchasing Division
215 N Mason
FortCollins CO 80522
ACORD 25S (7197)1 of 1 kC50RS1A/1UIR1A'%9O
DESCRIBED
TH E E%PRATION
THEREOF THE ISSUING INSURER WILL ENDEAVOR TOMAIL3D DAYSWRITTEN
ETOTHE CERTIFICATE HOLDER NAMED TOME LEFT BUTFAILURE TODOSOSHALL
IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
AI}IHORIZE` _ D REPRESENT TWt
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