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HomeMy WebLinkAboutQUANTUM WEST INC - INSURANCE CERTIFICATEClient#, 18AR0 ACORDI,. CERTIFICATE OF LIABILITY INSURANCE VYY) 0DATE5IO25/0218 /08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Compass Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Olson & Olson Division 750 W. Hampden Avenue, Ste 440 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood, CO 80110 INSURERS AFFORDING COVERAGE NAIC # INSURED Quantum West, Inc. P.O. Box 337240 Greeley, CO 80633 INSURERA: American Casualty Company INSURER B: INSURER C: INSURER 0: NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIRE 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 I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPEOF INSURANCE POLICY NUMBER POLICY EFFECTIVE PATE MMIODIVY POLICY EXPIRATION DATE M 10b LIMITS A GENERAL LIABILITY 2026585260 06/14/08 06/14/09 F.ACH OCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR DAMAGE TO RENTED $300 000 $10 000 MED EXP (Any one Person) . PERSONAL A AOV INJURY $1000000 GENERAL AGGREGATE $2,000,000 AGGREGATE LIMIT APPLIES PER: _PRO- JECT PRODUCTS-COMPIOPAGG $20000�___ ,GEN'L A AUTOMOBILE LIABILITY ANY AUTO 2026586260 06/14/08 06/14/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 _ BODILY INJURY (Psi Person) .__.._.-._..._. S ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accitlenU $ HIREDAUTOS— NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ — GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO--- - S — AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR u CLAIMS MADE _ EACH OCCURRENCE $ AGGREGATE $ ___...__-......-._.._.- .. S DEDUCTIBLE F. $ .—..-__ RETENTION _._F _.......— ._ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ._._ _ WET OTH. -T_QRYJJMI E.L.EACH ACCIDENT $ ANY PROPRIETOR/ E.L. DISEASE - EA EMPLOYEE _ __ $ EXCLUDED' OFFICERIMEMBER EXCILDED? I(yes, describe under F..1-.DISEASE-POIt_CY_L1_MI'f S SPECIAL PROVISIONS below OTHER "Except 10 days V _ for non-payment of premium. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS City of Fort Collins Purchasing P.O. Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �30 DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED 10 THE LEFT, BUT FAILURE TO 00 SO SHALL OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE 10., e r+ww <v(avuoo7l OTZ #537Z174/M37Z163 30DLS 0 ACORD CORPORATION 1988 ACORDn, CERTIFICATE OF LIABILITY INSURANCE Compass Insurance Agency, Inc. Olson & Olson Division 750 W. Hampden Avenue, Ste 440 Englewood, CO 80110 Quantum West, Inc. P.O. Box 337240 Greeley, CO 80633 ONLY AND HOLDER.T INSURERS AFFORDING COVERAGE wsURERAPhiladelphia Indemnity INSURER 8: INSURER C: INSURER D: INSURER E: DATE (MMIODNYYY) 05/02/08 MATTER OF INFORMATION PON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOW. NAIC 0 IS Co 1 18058 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR'fHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DER HFICAT'IE 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. LTR N TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE O!W POLICY —EXPIRATION DATE I DD/YY LIMITS GENERAL LIABILITY _EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR DAMAGEPRIEMIS_TO RENTED $ MED EXP (Any one person) S PERSONAL&AOV IN, S GENERAL AGGREGATE $ GEN'L AGGREGATE: LIMIT APPLIES PER: _ POLICY _ rRCOT LOC PRODUCTS_-COMPIOP AGG S ��-�-- ---u _ AUTOMOBILE A- LIABILITY -�_— ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS—__-- —�— SCHEDULED AUTOS 130011 Y INJURY (Pe, person) § HIRED AUTOS- NONOWNED AUTOS BODILY (Per nccitlenderl) p $ PROPERTY DAMAGE (Per accident) S _ GARAGE LIABILITY "Except 10 days AUTO ONLY - EAACCIDENT $ .,� ANY AUTO for non-payment Of premium. OTHER TPIAN EAACC ALTO ONLY: AGO $ $ EXCESSIUMBRF.LI.A LIABILITY EACHOCCURRENCE $_ _ AGGREGATE $ OCCUR �.J CLAIMS MADE .........._._.._ DEDUCTIBLE.. b u RETENTION 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- 0711- 4RY1UdLTS E.L. EACHACCIDENT - A— § ANY PROPRIETOMPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? Ifyes.descdbeunder EL DISEgSF_EA EMPLOYEE ---'— "- 5 _ C.L. DISEASE. POLICY LIMIT 5 Per Claim $1,000,000 Aggregate $1,000,000 A SPECIAL. PROVISIONS below. OTHER Professional Liability HS PD190233 06/14/07 O6/14/08 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLE$ I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS "Per Claim" and "Annual Aggregate" limits apply per project. Payment of claims, defense costs and claims expenses reduce the limit. City of Fort Collins Purchasing P.O. Box 580 Fort Collins, CO 80522 LC ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN 'E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ;ENO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE -••----•-•---, r of < afasrnoy/msrz Ens 30DLS (E) ACORD CORPORATION 1988