HomeMy WebLinkAboutCOLEBROOK - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 1
Centennial Insurance Agency
PO Box 461509 Aurora CO 80046
COLEBROOK INC
7332 S ALTON WAY STE A
ENGLEWOOD CO 80112
COVERAGES
NAIL #
i iNaIIRFR R PINNACOL ASSURANCE I I
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
��IIDUL
POLICY NUMBER
POLICY EFFECTIVE
POLICY EHB'1RATION AM millicaryIn
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
s 1000000
PR MI aooarsce
f 100000
CIXAMERCIALGENERALUABIUTY
MED EXP (A )
rty one
f 5 000
CLAIMS MADE � OCCUR
PERSONAL& ADV INJURY
$ 1 ODO 000
A
72LP161765
3/25/2004
3/25/2005
GENERAL AGGREGATE
f 2000000
GENL AGGREGATE
LIMIT APRU7 PER
PRODUCTS COMPpP AGG
1,2000000
POLICY
PRb LOC
AUTOMOBRE
LIABILITY
COMBINED SINGLE LIMB
f
ANY AUTO
(Ea )
aaAeen
BODILY INJURY
f
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per penes)
BODILY INJURY
f
HIRED AUTOS
NON -OWNED AUTO
(Paracatlenl)
PROPERTY DAMAGE
s
(Par acaMM)
GARAGE LIANUTY
AUTO ONLY EA ACCIDENT
$
OTHER THAN EAACC
f
ANY AUTO
$
AUTO ONLY AGG
EXCESSNMBRELIA LIABILITY
EACH OCCURRENCE
$
OCCUR ® CLAIMS MADE
AGGREGATE
$
s
s
0 DEDUCTIBLE
s
RETENTION $
O
WORKERS COMPENSATION AND
V I ARMATSR
EMPLOYERS LIABILITY
4019910
5/01/2004
5/01/2005
EL EACH ACCIDENT
f 1000()0
ANY PROPRIETOWPARTNERKS(ECURVE
i W UUU
OFFICERAJEMBER EXCLUDED
E L DISEASE EA EMPLOYE
$
N Yee Aeenee o
SPECIAL PROVISIONS W.
E L.DISEASE POLICY LINT
f 500 000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEIIENrI SPECIAL PWMSIOMS
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
281 N COLLEGE AVE
GATE TEREDF TE ISWING INSKER ,, L EW,,voB TT rat 30 DAYS wRRIEN
PO BOX 500
NOTICE TO TILE CIBTFTCATE IIOLDAi NAMED TO THE LIST BUT FAILURE TO DO 50 SULL
FORT COLLINS CO 80522-0580
IMPOSE NO OBLIGATION OR LIABI ITN' OF ANY HIND UPON THE INSURER, ITS AGENTS OR
FAX 970-224.6134
REPRESBITA
AU TA
ACORD 25 (2001/08) 0 ACORD CORPORATION 1988