HomeMy WebLinkAboutBARBARA HURTADO SOUTHWESTERN PAINTING - INSURANCE CERTIFICATEACORD.. CERTIFICATE OF LIABILITY IN URANCE DATE:12/20/07 1
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Cummings Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1300 G. Bridge St. HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
j ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Brighton, CO 80601 ---
____ INSURERS AFFORDING COVERAGE_
INSURED INSURER A: Hartford Insurance Company
Barbara HUrtado INSURER B: FirstComp Insurance Company
Southwestern Painting
709 Rose Dr. INSURER C:
Brlgllton, CO 80601 Inlet loco n. --
COVERAGES:
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 l"O ALL THE TERMS, EXCLUSIONS AND
CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR
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TYPE OF INSURANCE
_..—___.._.—..._—
NUMBER
POLICY
EFFECTIVE
EFFECTIVE
DATE
POLICY
EXPIRATION
7i
LIMITS
A
_
GENERAL LIABILITY
❑ COMMERCIAL GFNERALLIABILDY
❑ ❑ CLAIMS MADE ® OCCUR
❑
34SBMIH$$22
11/28/2007
_DATE
11/28/2008
EACH OCCURRENCE
$1000000
FIRE DAMAGE (ANY ONE FIRE)
$300000
MED EXP (A. YONE PERSON)
$10000
PERSONALB ADV IV nVURY
$100000
❑
GENERAL AGGREGATE
$200000
GEN'L AGGREGATE LIMIT APPLIES PER:
❑ POLICY ❑ PROJECT ❑ LOG
PRODUCTS - COMPIDP AGO
$200000
1
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
❑ SCHEDULED AUTOS
HIRED AUTOS
❑ NON -OWNED AUTOS
a
COMBINED SINGLE LIMIT
(PER ACCIDENT)
BODILY INJURY
(PER PERSON)
$
BODILY INJURY
(PER ACCIDENT)
$--_--)
PROPERTY DAMAGE
(PER ACCIDENT)
—�
$
_
!
_
GARAGE LIABILITY
❑ ANYAUrO
❑
EXCESS LIABILITY
❑ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
RC-.TENTIO_N $
AUTO ONLY - EA ACCIDENT
$
OTHERI'HAN FA ACC
AUTO ONLY
AGO
EACH OCCURRENCE
AGGREGATE
_
$
$
$
$
$
$
g
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
524022447
12/14/2007
12/14/2008
we sTniuTCRY OTHER
$
EL ACCIDENT
DENT
$1_00000
E.L. DISEASE -EAEMPLOYEE
$500000
E.L. DISEASE -POLICY UNIT
$1 DOOOO
OTHER
UFSCR PTIUN OP OPERATIONSILOCATIONSNCHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
City Of Fort Collins Purchasing
P.O. BOX 580
II Fort Collins, Co., 80522
I Attn: Jim Hume
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFOR[
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
DO SO SHAII,, IMPOSE.NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
ITS AG OR REPRESENTATIVES.
AUTHO IZED REPRESENTATIVE �
G /
ACORD 25-S (7/97) GACORD CORPORATION 1988