HomeMy WebLinkAbout124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATE (4)ACORD CERTIFICATE OF LIABILITY INSURANCE DIP IIDi 6aoa
PRODUCER
Broom 6 Brown Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
125 S Howes, 5th Floor ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P 0 Box 2226 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
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 III INSURER Plnnacol Aasurance _
INSURERS Nowtatn ataae xMmsry Co 10177
T9g �'y$� Pressure washing Inc INSURERC
5$$ w 67th $tt INSURERD--
Loveland CO 60538 _
INSURER E T
(•RVCD
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
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
LTR
NBR TYPE OF INSURANCE
POLICY NUMBER
DATE MMXID
DA MMIDD LIMITS
B
GENERAL LIABILITY
X I COMMERCIALGENERALLIABILITY
EACH OCCURRENCE $ 1 , 00,000
PREMISES Eaoccuranca
MED EXP (Any one Pv -)
$ 100,000
$10 , 000
CLAIMS MADE OCCUR
X Blkt Add 1 Inad
CP1011641101
I 10/31/07
10/31/08
PERSONAL aADVINJURY
s1,000,000
Blkt Waiver SubrO
GENERAL AGGREGATE
$2,000 QQQ
GENL AGGREGATE LIMIT APPLIES PER
PRODUCTS COMP/OP AGG
$2 O00 000
r
POLICY IX J
LOC
AUTOMOBILE LIABILITY
B
ANY AUTO
BAI011641101
10/31/07
10/31/08
COMBINED SINGLE LIMIT
(Ea 8w0W)
$110001000
ALLOWNEDAUTOS
BODILY INJURY
(Per pen0n)
$
X SCHEDULED AUTOS
X HIRED AUTOS
BODILY INJURY
(Per awdwt)
—
$
Xi NON-0OWNED AUTOS
PROPERTY DAMAGE
$ —
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT $
ANY AUTO
—
OTHER THAN EA ACC $
AUTO ONLY AGO $
E%CEaSNMBRELLA LIABILITY
B X OCCUR CLAIMSMADE OMB011641101
LEACH OCCURRENCE $ 100000Q
10/31/07 10/31/08 AGI GREGATE pOQQpQ
DEDUCTIBLE
X RETENTION $10000
I $
--
WONRERE COMPENSATION AND
E
A EMPLOYERS LMIBILITY
ANY PROPRIETOMPARTNERIFXECUTNE 4031609
I TORYLIMITS R I uER
07/01/08 07/01/09 EL EACHACCIDENT 1000000
OFFICERIMEMBER EXCLUDED?
$
KZ duaieeundw
SPECIAL PROVISIONS Wow
Ir EL DISEASE EA EMPLOYE $ 10000Q0
OTHER
EL DISEASE POLICYLIMIT 1 $ 1000000
B (Contractors Equip ICP1011641101
10/31/07 10/31/08 Leased/Re
1009 RC - S ecial
$100,000
Ded $500
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PRONSIONa
Painting Exterior (Pressure washxng)RE Bid
#5827 Parking Structures Snow
Removal
CERTIFICATE HOLDER
FTCPDRC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATOA
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Purchasing DepartDepartmentCSof Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SD SHALL
215 N Mason IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER ITS AGENTS OR
Fort Collins CO 80522 REPRESENTATIVES
ACORD