HomeMy WebLinkAbout120140 VARISTY CONTRACTORS - INSURANCE CERTIFICATEJLN-03-2008 09 31 From
To Cite of Fort Collins P 4/4
AC-ORO vARSs-CERTIFICATE OF LIABILITY INSURANCE oPIO °"'°1 084RR
lD 7
UO 07-
PROWC6R
THIS CERTIFICATE 15ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO MONTS UPON THE CERTIFICATE
Premier insurance TB
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
P O Box 30340
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Tdaho Palls ID 83405
Phone/208-522-1260 FaxT208-522-1267
INSURERS AFFORDING COVERAGE
NAIC0
INSURED — — _
INSUREPA 1mL1EAOe L c it, ftstq. Y — _ _
20443
INSUICAa TYLI P. 1 [ IA Ce _
20494
Varsity Contractors, 1nC
INSURER American Casualty Co
20427
PO Box 1g692
Pocatello ID 03204
INEURERD
—
—
INBURCq C
COVERAGES
THU POLICIES OF INSURIMCC LISTED OmDW HAVE BEEN ISI N ND TD THE INSURCONAMQD ADM FOR THE POLICY PERIOD INDICATED NOIVATHSTANDING
ANY ACOLPROMUPNT TERM OR CONDITION OF ANY CONTRACT OR OTHCR OOCUMCNT "TH AEAPSCT TO WHICH TNO OCRRFICATO MAY OC IEBUCO OR
MAY PERTAIN THE INSURANCE AFFOROEO BY Mfi POI IOU OCSCN1000 HEREIN IS SUBJECT TO ALL THC IVANE dxnUUSIONO AM CONDITIONS OF SUCH
POLICIES AOOROGATS UNITS SHOWN MAY HAVO SEEN REDUCED BY PAD CLAMS
CIO a �CYNE'PO
INT — EOF IN NCE FOUOYNUMBOR OATR jM1f Y D ON 11M1T0 —
GONORALEAgMTY
GC1,MH
31,000 000
8
x
x COMMEAdALOENeL4.WgEITY
GL1074973171
09/01/07
09/01/08
COE(x-TuNRCNOE
INN W 9PIWom,NA1MI
3500 000
pLMAe MALE jz1 OCCUR
MLOCXP LAN aA pNNnI
15,000
PERSOM aADVINJIJRY—
$ 1,000 000
EDNLRALAoQMCATE__
12,000 000
______
GOAL AGGREGATE LINT APPLIES PER
PRODUCTS_ COMPIOPAGO
$2_ 000 000
POLICY X I 'PN I I LOC
Emy Ben
1 000 0OO
AUTOMOBILE
LABILITY
CAMBINED SINGLE LIMIT
i1,0- 000
8
X
ANYAITO
BVA2074973136
09/01/01
0910110E
I Egmeq
ALLOWNEDAUTOS
GGERLVINUITY
S
_
SCHEDULED AUTOS
U>nr PNYNWI
_
—
X
HIRSDAUT06
IINLIURN
°OPu
$
x
NON NEOAUTOS
(OILY
—
PROPERTY DA IX
S
IPorumaanN
OARAOELL4wu"
AUIOOI Y GACCOCNT
1 _
ANY AUTO
OTHER THAN EAADD
I ---
AUTO ONLY AGG
I
EXCOEBIMMYR94u LIABILITY
EACH GOCURRONCC
S 5 000 000
A
X-1 OCCUR uCLAMeMADE
L2076434402
09/01/07
09/01/08
ABGRDwrc _
a
s_
_ DMUOTIMC
X RETENTION $10 000
S
WORKERS COaReNaARON AND
X1 TVYU
Q,y_V �Id11T¢ X
B
AL�PLGrBIq�uABIUTY
ANY
WC274973251
09/01/07
09/01/08
EL GOH ACCIDENT —
_
51000000
C
CERMEETOR WAUDRE%ECUTIVE
pyFyyyFeMe.gVMGISEfl BXCLVDBOT
NCaruYpN1 cLL[RPPPIA
09/01/07
09/01/08
EL gSGSE GCMFLOVE4
11000000
Il1PIICI PA PA i '81**45 WIPn
CL OMME POLICYUNT
a1000000
OTHER
A
Crime
268141543
09/01/07
09/01/08
Limit 01,000 000
D RPnON OROPERATNfIe ILOtATN7NEl VENICLBSI EXCLUSWMO AOOa0 EY 9NpONSOMIIN110PDCAL PROVOIIONE
All coverages are subject to Policy forma, conditions and exclusions City
of Port Collins is additional insured for General Liability but only with
regard Co service■ provided by the Located
CTTXOPP 1HOu.D ANY OR THE AEGV9 DESCRIBES POLICIES DO CANCELLER EEPORE THE EXPIRATION
GATE THEREOF THE maumn IkeREm 6i, ENaUvoRTOMAIL 30 DAYS WRTTSN
City of Port Collins NOTICE TO THE 09RTIR0AIV HOLDER NAMED TO ME L9r OUT FAILURE TO 00 E0 SHALL
Director of Purchasing ORDER NO OBLIGATION OR LIAPIMTY OR ANY KIND UPON THE INSURER, ITS AGENTS ON
PO Box 580
Fort Collins CO 80521 REPRESENTATIVES.
E001108) - 0 ACORO CORPORATION 1988