HomeMy WebLinkAboutJJ'S VENDING SERVICES - INSURANCE CERTIFICATEFm:Ewing-Leavlttlnsuranee (187D2(UY383)
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�QN CERTIFICATE OF LIABILITY INSURANCE
°Nis125%z009
PRODUCER (970)679-7333 FAX (970)679-7377
Ewing -Leavitt Insurance Agency
402S St. Cloud Dr.
Suite 100
Loveland, CO 9OS38
THIS CERTIFICATE IS ISSUEDASAYATTEROFINFORMATION
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
NAICY
INSURED 33 s Vending Service
6826 N. Franklin
Loveland, CO 80538
INSURER& Safeco Ins Co
G9391
INSURERS. Pinnacol Assurance
41190
INSURER
INSURER O
INSURER E:
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
NAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAX) CLAW.
SN
SIT
m
TYPE OFLNSURANCE
POLICYMUMBER
POUCYFFFECTIYE�
ItINTS
A
GENERALLARn1TY
X COMMERCIAL GENERAL.LVOLITY
C1M45 MADE OCCUR
OlOG2676726
11/1S/2007
11/15/2008
EACH OCCURRENCE
S 1,000.00(
DANAGETORENTED
S 200,
A£OEXP(N�)
S 10
PERSONAL A ADV INJURY
S 1
GENERA AGGREGATE
S 2,000,000
GERYL AGGREGATE LBAnAPPLEi PER.
X POLCY JEECT LOG
PRODUCTS-CONPIOPAGO
S 2 000
AUTONOSILELUBRRY
ANYAUVO
ALL OWNEDAUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NLW.UWNtUAUl4!
COMBMOSW43LELMT
S
BODLY NRALY
(Pet PO )
S
BOOIYNHRY
(PttocuOcrL)
S
PROPERTY DAMAGE
(Pwaoww)
S
GARAGE LIAM"
ANYAUR)
11
AUTOOIAY.EAACLTDENr
S
OTHER THAN EAACC
AUTO ONLY: AGG
S
T
EXCESSAMBREUA uASLRY
OCCUR CLNMSMADE
DEDUCTIBLE
RETENLgN S
EACH OCCURRENCE
S
AGGREGATE
S
S
S --
E
B
WORKERS COMPENSATION AND
EMPLOYERW LIABILITY
OFFICEP MUER EXCLUDED?
P SPLE aeOeuWm
SPECIAL PROVISIONS OeIax
3309161
04/01/2009
04/01/2009
X wcSTATD- _JT
ELEACHACCINFHT
S 100
E.L. 06EASE.EAEMPLOYEE
E 100,
E.L. DISEASE-PoLCVLNR
T S00.000
OTHER
ROIRSIONS
ErTflPrcaEte a�A�ID�JrJ isR� r�vdEH¢LFsrM1 tiwra Insure��as resppeccECIALts general liability_ ertn cate r is as a
FXPRATION DATE THEREOF, THE ISSUNIGINSURER WLL ENDEAVOLt TO MAIL
30 DAYS WRITTEN NOTICE TOTHE CERTRLCATE HOLDER NAKED TO THE LEFT,
City of Fart Collins BUT FAtURE TO tlAA. SUCH NOTICESNALLRLPOSENOOSLIGATN)H OR UABIUfY
281 North College Avenue OF ARYNND UPON THE INSURER ILSAGENT8 OR REPRESENTATIVES.
Fort Collins, CO 80524 AUTHORUIDREPRESENTATIVE
arnan7sr7nnium1 FAX: (9703224-6134 no ACORD
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