HomeMy WebLinkAboutCEDAR SUPPLY - INSURANCE CERTIFICATEC RD CERTIFICATE OF
PRODUCER
Brown 8 Brown Inc - Ft Collins
125 S Howes Sth Floor
P O Box 2226
LIABILITY
INSURANCE GP ID DATE (MMA
EDAR 6 10/27/0/04
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 BELOW
Fort Collins
CO 80522-2226
Phone:970-482-7747 Fax:970-484-4165
INSURERS AFFORDING COVERAGE
INSURED
INSURER MOUNTAIN STATES MUTUAL
INSURERS P1AAacol Assurance
Cedar
Boyd
Fort
Fort
Supply North, Inc
Sout (Skip)
South Collegge
Coll as CO 80525
INSURERC
INSURERD
INSURER E
VV
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
DATE MWDD
DATE MMIDD
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000 000
A
X COMMERCIAL GENERAL LIABILITY
CPP0079140
11/09/04
11/09/05
FIRE DAMAGE (Any one fire)
$ 100 000
MED EXP (Any one person)
$ 5 000
CLAIMS MADE ® OCCUR
PERSONAL B ADV INJURY
$11000,000
GENERAL AGGREGATE
$ 2, 000, 000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOPAGG
$2,000 000
POLICY JET LOC
AUTOMOBILE
LIABILITY
A
ANY AUTO
BAP0079140
11/09/04
11/09/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000 000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Par person)
$
X
X
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Peramdant)
$
X
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTOONLV EAACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
$
AUTO
AUTO ONLY AGG
EXCESS LIABILITY
EACH OCCURRENCE
$1 000,000
A
X OCCUR CLAIMS MADE
UMB0079140
11/09/04
11/09/05
AGGREGATE
$ 1,000 000
DEDUCTIBLE
X RETENTION $ 10 000
$
WORKERS COMPENSATION AND
X
B
EMPLOYERS LIABILITY
TWO RV LIMITS ER
EL EACH ACCIDENT
$ 1000QOO
4048795
07/01/04
Qo/Ql/QS
EL DISEASE EA EMP OYES
$ 1000000
EL DISEASE POLICYLIMIT
$ 1000000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Fort Collins
Attn: Purchasing Dept
P O Box 580
Fort Collins CO 80522
CITYFT7 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
DATE THEREOF THE ISSUING INSURER WALL ENDEAVOR TO MAIL .;Q-- DAYS WRITTEN
NOTICE TO THE CERTIFICATE 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