HomeMy WebLinkAbout108979 A & L SERVICES - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked.
6000 American Pky Madison, Wisconsin 53783-0001
Insured's Name and Address Agent's Name, Address and Phone Number (Agt./Dist.)
Michael Feltz Sr Daniel B Richmond (970) 484-2881
doe A & L Services LLC 923 E. Prospect Rd
2329 W Mulberry St Fort Collins, CO 80525-1110 (005/316)
Fort Collins, CO 80521-3224
This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder.
This certificate does not amend, extend or alter the coverage afforded by the policies listed below.
COVERAGES
This Is to ceety, that 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 comfoate may be Issued or may pedain, the insurance afforded by the policies described herein Is subject to all the terms, exclusions, and conditions of such policies.
TYPE OF INSURANCE
POLICY NUMBER
POLICY DATE
LIMITS OF LIABILITY
EFFECTIVE EXPIRATION
(Me Bay. Yr(Me Day. Yr
Homeowners/
Bodily Injury and Property Damage
Mobilehomeowners Liability
Each occurrence $ '000
Boatowners Liability
Bodily Injury and Property Damage
Each Occurrence $ '000
Personal Umbrella Liability
Botlily Injury and Properly Damage
Each Occurrence $ ,000
Farm/Ranch Liability
Farm Liability & Personal Liability
Each Occurrence $ ,000
Farm Employer's Liability
Each Occurrence $ 000
Workers Compensation and
statutory ,,.,,,.,,,•,;,
Each Accident $ '000
Employers Liability t
Disease - Each Employee $ ,000
Disease -Policy Limit $ ,000
General Liability
General Aggregate $ 2.000 ,000
_
Products- Completed Operations Aggregate $ 2,000 ,000
® Commercial General
Liability(occurrence)
❑
❑
05-XC5070-03
4/28/2007
4/28/2008
Personal and Advertising Injury $ 1.000 .000
Each Occurrence $ 1,000 ,000
Damage to Promises Rented to You $ 100 000
Medical Expense (Any One Person) $ 5 000
Businessowners Liability
Each Occuremoet t $ '000
Aggregatett $ 1000
Liquor Liability
Common Cause Limit $ ,000
Aggregate Limit $ '000
Automobile Liability
❑ Any Auto
❑ All Owned Autos
Bodily Injury - Each Person $ '000
Bodily Injury- Each Accident $ ,000
❑ Scheduled Autos
❑ Hired Auto
Property Damage $ ,000
❑ Nonowned Autos
❑
Bodily Injury and Property Damage Combined $ '000
Excess Liability
❑ Commercial Blanket Excess
❑
Each Occurrence/Aggregate $ 000
Other (Miscellaneous Coverages)
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS t The individual or partners shown as insured El Have ❑Have not
The commercial general liability policy is endorsed to include City of Fort elected to be covered as employees under this policy.
t t Products Completed Operations aggregate is equal to each
Collins as additional insured on the CG 20 10 07 04 ensorsement. occurrence limit and is included In policy aggregate.
CERTIFICATE HOLDER'S NAME AND ADDRESS `
CANCELLATION
• City of Fort Collins
Y
Purchasing Division
Should any of the above described policies be cancelled before the
expiration date thereof, the company will endeavor to mail '( 30 days)
written notice to the Certificate Holder named, but failure to mail such
PO Box 580
Fort Collins, CO 80522
notice shall impose no obligation or liabilityof
fany kind upon the
number of days shown,or representatives. t days unless different
❑ This certifies coverage on the date of issue only, The above
described policies are subject to cancellation in conformity with their
terms and by the laws of the state of issue.
DATE ISSUED
AUTHORIZED REPRESENTATIVE
2/18/2008
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U-201 Ed. 5/00 Certificate Holder Stock No. 06668 Rev. 7/02