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HomeMy WebLinkAbout113109 WATERFORD CORPORATION - INSURANCE CERTIFICATE (4)0Of CERTIFICATE OF LIABILITY INSURANCE 1 °"TE061161208YY' PRODUCER _.... _... PINNACOL ASSURANCE 7501 E Lowry Blvd Denver, CO 80230-7006 INSURED _._.. 1NATERFORD CORPORATION 404 NORTH LINK LANE FORT COLLINS, CO 80524 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, INSURERS AFFORDING COVERAGE NAIC# wsukERA PINNACOL ASSURANCE 41190 INSURER INSURBRC :OVERAGES e ___. A __. __. _.._... 'fI If-: POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED IO THE INSURED NAMED ABOVE P012 THE POLICY PERIOD INDICTNED. O [Wirt IS LANDNK ANY REQUIREMENT. TERM OR CONDITION OF ANY CON] RAC I OR OTHER DOCUMMIdN I WITH RP_SPEC I' 'IO WHICH 'THIS CERTIF ICKIE: MAY BE ISSUIID OR MAY PERTAIN, THE INSURANCE Art -ORDI D BY IIiT_ POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL IIHE 'TERMS, EXCLUSIONS AND CONDITIONS OF SUCI I POLICIES. LIMITS SHOWN MAY HAVIi_ BEEN REDUCED BY PAID CLAIMS. _ INSR I ADDL I POUCYEFFECTIVF. I POLICY EXPIRATION GENERAL UAAII IIY .011MERCIALGINERAILIABIIRY ! _J CLAIMSMADL I OCCUR { Gf'NL AGGREGATE LIMIT APPLIRS S PER 1„POLICY LJ PROJECT[ LOC_._., 1 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON OWNED AUTOS ,GARAGE LIABILITY ANY AUTO ,EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE _)DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND A EMPLOYER'S LIABILITY ANY PROPRIETOWPARTNEWEXECUTIVE 4105522 OFFICERIMEMBER EXCLUDED' If yes. PIOA:e decnibeunder SPECIAL PROVISIONS bolow 1 DAMAGE TO RIfNTED PREMISES MEDEXPD Y 1111-)___. PERSONAL& ADVINJURY__ GENERAL AGGREGATE PRODUCTS COMP/OP AGO COMBINED SINGLE LIMIT ((Ea Accitlanl) BODILYINJURY. (Par person) BODILYINJURY (Per acnaem) PROPERTY DAMAGE (Per accitlaN) AUTO ONLY EA ACCIDENT_ OTHERTHAN EA, AUTO ONLY EACN OCCURRENCE AGGREGATE YlI We STATU IOTIIEI TORYUMITS 06/01/2008 06/01/2009 EL EACH ACCIDENT EL DISEASE- EA EMPLOYEE DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CITY OF FT. COLLINS ATTN: PURCHASING DIVISION 215 N. MASON Fort Collins CO 80522 ACORD CANCELLATION THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ,_EFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Charles Doggett CERTIFICATE HOLDER COPY CITY OF FT. COLLINS ATTN: PURCHASING DIVISION 215 N. MASON Fort Collins CO 80522 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.