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HomeMy WebLinkAboutBOBS APPLIANCE SERVICE INTERNATIONAL VENTURES - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYY) BOBSA-1 04 04 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970 484-4165 INSURERS AFFORDING COVERAGE iNAIC# INSURED INSURER S A Ana icon Casualty of Reading, 20427 Bob'sINSUSRERAppliance Service Continental casualty ConPany 20443 Inter -- --- --- --- -- nternational Ventures DBA (INSURER C' 225 SmokeySt INSURERD Ft Collinsollins CO 80525 . !. 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. INSR jADD' __--- "_-__—-------'_"" POLICY POLICY EFFECTIVE 'POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY ! DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY 1036414619 DAMAGETO RENTED - I$1000000 '-- CLAIMS MADE (OCCUR �XJBusiness PREMISES_ (Ea occurenceZ_ $ 360000 NED EXP(Any one person) $10-0DD A Owners 05/01/08 05/01/09 PERSONAL&AOVINJURY -- - $1000000 GENERAL AGGREGATE $ 2000000 ...i AGGREGATE LIMIT APPLIES PER: _.. PRODUCTS-COMPlOP AGG .._ $ZOO DDDD _ POLICY JEOT LOG A 'I..,.JBILELIABILITY� ANY AUTO 1036414619 05/01/081 05/01/09 COMBINED SINGLE LIMIT (Ea accident) $ 100DDDD I � ALL OWNED AUTOS iI t -- -11 1 -�- BODILY INJURY $ I SCHEDULEDAUTOS (Per person) $ I HIRED AUTOS f - - X NON -OWNED AUTOS BODILY INJURY (Per accident) $ _-"-" '----- PROPERTY DAMAGE $ (Per accitlenQ GARAGE --� LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ B E%CESSIUMBRELLA LIABILITY X OCCUR I. EACH OCCURRENCE _.-__ $ 1000000 _] CLAIMS MADE 20973011016 05/01/OB 05/01/09 AGGREGATE I $ SOOOOOO $ DEDUCTIBLE i $ X RETENTION $lOOOO -._. I -_ $ WORKERS COMPENSATION AND j EMPLOYERS' LIABILITYL TOWC RY LIMITS ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? _ E.L.ISEASE-EA EMPLOYEE( $ If es, describe under-__ and SPECIAL PROVISIONS below ! E.L. DISEASE -POLICY LIMIT $ OTHER I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins P.O. Box 580 Fort Collins CO 80522 CITYOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO! DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIA81LITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE(MM/DD/YYYY) BOBSA-1 OS 21 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes , 5 th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC # INSURED I INSURER A: American Casualty of Reading, I 20427 INSURERS Continental Casualty Company Bob's Appliance Service _ International Ventures DBA INSURERC 225 Smoke St _ Y INSURER -REVISED CERTIFICATE 5/l/00a Ft Collins CO 80525 --- INSURER E: AeAll4:i_ice] x1 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. INSR'400' ' -_.__. .... _..____._ ____.__. ___ POLICY NUMBER _�_ - POLICY EFFECTIVE 'POLICY EXPIRATION LTR NSR TYPE OF INSURANCE DATE MMIDD/YY DATE MM/DOlYV LIMITS GENERAL LIABILITY ii EACH OCCURRENCE $ 1000000 j COGENERAL LIABILITY 1036414619 DAMAGETO RENTED1MMERCIAL PREMISES(Eaoccurence) ( $ 300000_ CLAIMS MADE OCCUR MED EXP (Any one person) $ 10000 A -- X Business Owners 05/01/08 05/01/09 I PERSONAL& ADV INJURY 1 $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG I $ 2000000 JECOT _._—__. __—.__ ...._....__ ___. r POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A I- I ANY AUTO 1036414619 05/01/08 05/01/09 (Ea accident) ___. $ 1000000 ALL OWNED AUTOS BODILY INJURY $ — SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY (Per accident) $ X NON -OWNED AUTOS 1 PROPERTY DAMAGE $ (Per scddenQ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT i$ ANY AUTO OTHER THAN EA ACC - $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ ] OCCUR ( CLAIMS MADE AGGREGATE $ _ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS f ERI EMPLOYERS' LIABILITY (E ANY PROPRIETOR/PARTNER/EXECUTIVE L. EACH ACCIDENT _ I -- _ $ OFFICER)MEMBER EXCLUDED? E L DISEASE EA EMPLOYEEl $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CITYOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 580 Fort Collins CO 80522 REPRESENTATIVES. 25 (2001108) a © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J DATE(MM/DD/YYYY) BOBSA-1 OS 21 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes , 5 th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC # INSURED I INSURER A: American Casualty of Reading, I 20427 INSURERS Continental Casualty Company Bob's Appliance Service _ International Ventures DBA INSURERC 225 Smoke St _ Y INSURER -REVISED CERTIFICATE 5/l/00a Ft Collins CO 80525 --- INSURER E: AeAll4:i_ice] x1 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. INSR'400' ' -_.__. .... _..____._ ____.__. ___ POLICY NUMBER _�_ - POLICY EFFECTIVE 'POLICY EXPIRATION LTR NSR TYPE OF INSURANCE DATE MMIDD/YY DATE MM/DOlYV LIMITS GENERAL LIABILITY ii EACH OCCURRENCE $ 1000000 j COGENERAL LIABILITY 1036414619 DAMAGETO RENTED1MMERCIAL PREMISES(Eaoccurence) ( $ 300000_ CLAIMS MADE OCCUR MED EXP (Any one person) $ 10000 A -- X Business Owners 05/01/08 05/01/09 I PERSONAL& ADV INJURY 1 $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG I $ 2000000 JECOT _._—__. __—.__ ...._....__ ___. r POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A I- I ANY AUTO 1036414619 05/01/08 05/01/09 (Ea accident) ___. $ 1000000 ALL OWNED AUTOS BODILY INJURY $ — SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY (Per accident) $ X NON -OWNED AUTOS 1 PROPERTY DAMAGE $ (Per scddenQ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT i$ ANY AUTO OTHER THAN EA ACC - $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ ] OCCUR ( CLAIMS MADE AGGREGATE $ _ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS f ERI EMPLOYERS' LIABILITY (E ANY PROPRIETOR/PARTNER/EXECUTIVE L. EACH ACCIDENT _ I -- _ $ OFFICER)MEMBER EXCLUDED? E L DISEASE EA EMPLOYEEl $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CITYOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 580 Fort Collins CO 80522 REPRESENTATIVES. 25 (2001108) a © ACORD CORPORATION 1988