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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