HomeMy WebLinkAbout357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (2)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.
INSR --- -- POLICY EFFECTIVE -I P ATEE IIEDD TION LIMITS
LTR TYPE Of INSURANCE POLICY NUMBER DATE LMM/DO/VYJ DATE (MM/DD/VYJ_
GENERAL L/ABILITY EACN OCCURRENCE $Z 000, 000
A ICOMMERCIAL GENERAL LIABILITY 34 SBA PE5367 05/26/08 05/26/09 FIRE DAMAGE (Any n r )�$300,000
CLAIMS MADE X I OCCUR I NED EXP IAny one PereonI 510,000
X1 General Liab PERSONAL&ADVINJURY $1, 0001000
i1GENERAL AGGREGATE s2 r 000,000
GENT, AGGREGATE LIMIT APPLIES PER I PflODUCTS COMP/OP AGG s2 r 0 0 0i0 0 0
I POLICY I 1 PiiD(j
'r X I TOD
AUTOMOBILE LIABILITY
-- COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS'.
'- BODILY INJURY $
SCHEDULED AUTOS IPer person)
._.... HIRED AUTOS
e, ILYaccident)
INJURY $
W
NONOWNED AUTOS IPer accidcntl '.
-----""------ PROPERTY DAMAGE —
$
(Per accident)
GARAGE LIABILITY AUTO ONLY -� EA ACCIDENT S
ANY AUTO
OTHER THAN EA ACC S
AUTO ONLY AGGS
EXCESS LIABILITY EACH OCCURRENCE 5
_]OCCUR L CLAIMS MADE AGGREGATE _ $
_ S
DEDUCTIBLE
S
RETENTION 5
_ 5
WORXERRS LIABILITY NAND rWCSTAN I OEH�
EMPLOYERS'(lABILITY � _- _ JTORY_LIMLTSJ Ih
E.L. EACH ACCIDENT $
El. DISEASE - EA EMPLOYEE S
EL DISEASE -POLICY LIMIT S
OTHER
DESGRIPTION OF OPERATIONS/LOCH TIONSNEHICLES/EXCWSIONS ADDED By ENDORSEMENT/SPECIAL
Those usual to the Insured's Operations.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
The City of Fort Collins 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Purchasing Dept HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Po BOX 580 REPRESENTATIVES.
Fort Collins CO 80522-0580
AUTHORIZED REPRESENTATIVE
ACORD 25-S 17/97) ACORD CORPORATION 1988
CORD,M CERTIFICATE OF LIABILITY INSURANCE j DATE
03-27-2008 I
PRODUCER ITHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION !
LEID FINANCIAL GROUP INC�PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342560 P: (866)467-8730 F: (877) 905-0457 (_ ALTER THE COVERAGE AFFORDED BY THE POLI CI ES BELOW.
PO BOX 33015
AFFORDING
SAN ANTONIO TX 78265 I INSURER A: Hartford ERS Casualty Ins COVERAGE
INSUflED
LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW wSURERC:
1411 7TH ST. —
INSURER 0:
GREELEY CO 80631 INS(IIII:RP
COVERAGES
THE POLICIES OF INSURANCE LISTED BEI-OW HAVE BEEN ISSUED TO TIIE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CON DI'I ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIIICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THIS POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCFI I
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE �__--
POLICY NUMBED POLICY EFFECTIVE CY POLIEXPIRATIO N
DATE IMMIDO/YVJ (_DATE-(MMIDDiVYLIMITS
GENERAL LIABILITY
1 EACH OCCURRENCE 1 $1, 000 000
A
�(COMIMERCIALGENERALLIABILITY
_
34 SBA PE5367'05/26/08105/26/091rwEDAMAGE (A,P,-fi,,F's300,_000
_J CLAIMS MADE `X) OCCUR
! MED CXP (Any I P n) $10 r 000
__ _
l,,
Xj General Liab_I
...
PERSONAL&ADV INJURY $1 000 000
GENERAL AGGREGATE I52, 000, 000 1
GENT T. AGGREGATE LIMIT APPLIES PER:
E
I PRODUCTS - COMPI(lP AGG J2 r O O O l O O O
—__
POLICY LI JR�T_. 1 XI LOC
._—___—
AUTOMOBILE
LIABILITY
j t
i i COMUINED SINGLE LIMIT S
I.—
ANY AUTO
( IL ac denq
ALL OWNED AUTOS
1
UOIJILY INJURY I S
(Per
_
17
SC14EDULED AUT08
HIRED AUTOS
Person)
j
NON -OWNED AUTOS
BODILY INJURY 6
h
PROPERTY DAMAGE
i 5 i
__--__— ---
i--_--____.._....—_�_
IPw acadenU
GARAGE LIABILITY
---------
AU1'0 ONLY CA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
ICI
AU TO ONLY:
EXCESSLIABILITY
LIBILITY _
— _— — — ---
$
OCCUR ! CI AIMS MADE
ATE—AGG
AGGREGATE
_---
—�
$
DEDUCTIBLE
P—_----$_---_—i
_
REl'ENIION $
5
L__....
J ---
—;----_—_
--_-�
1 we srOTu -
nru
WORKERS COMPENSATION AND—_--_-
TORY IMITS Eli
EMPLOYERS' LIABILITY
—f
C.L. EACH ACCIDENT 5
E.L. DISEASE-EAEMPLOYEE;S
I
r.__._ _
E.L. DISEASE - POLICY LIMIT ! S
OTHER
I
-- ---- --
I �
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Those usual to the Insured's Operations.
I
i
i
CERTIFICATE HOLDER—] ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
----
SHOULD ANY OF 1 HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIIE
EXPIRAIION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
The City Of Fort Collins 30 DAYS WRIT FEN 1,161 ICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Purchasing Dept HOLDER NAMED TO 1HF LEFT, BUT FAILURE r0 DO SO SHALL IMPOSE NO
OBITGA HON OR LIABILITY OF ANY KIND UPON T HE INSURER, ITS AGENTS OR
PO Box CollinsRr------- Tnrlvrs. -- -- - --- ---
( Fort lliCO 80522-0580 A -UFgG8N1�DREjMEs`EN ATI`1L_-_
ACORD 25-S (7/97) - / 0 ACORD CORPORATION 1988