HomeMy WebLinkAbout120140 VARISTY CONTRACTORS - INSURANCE CERTIFICATE (2)44!ZORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID KK DATE (MMIDDIVYYY)
VARSI-1 10 02 08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Premier Insurance - IF
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 50340
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Idaho Falls ID 83405
Phone:208-522-1260 Fax:208-522-1267
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: St. Paul Fire & Marina Ina Co
02452
Varsity Contractors, Inc.
United Varsity Contractors LLC
INSURER Travelers Property Casualty co
_-- "— --- --
04461
- ----
Don Aslett ETAL
INSURERe Travelers casualty &_surety, co
-- - -- --_
03609 ....._.—_
PO Box 169�1
Pocatello ID 83204
INSUPERD
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
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.
INSRIIID' _._. __ —
POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION
DATE MMIDDIYY DATE MMIDDIYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S 1, 000, Goo
8
X
X COMMERCIAL GENERAL LIABILITY
TC2JGLSA1761B75408
09/O1/OS
09/O1/09
'EACH
TO RENTED""--__--
PROMISES (Ea occurence)
$500,0 00
IXAIMS MADE LX�OCCUR
MEDEXP (Any one person)
50 _
PERSONAL&ADV INJURY
S110001000
..__—_..
GENERALAGGREGATE
$ 2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
....
PRODUCTS - COMP/OP AGG
$Z, OOO, OOO
PRO-
POLICY X JECT LOC
Emp Ben.
1,000,000
AUTOMOBILE
LIABILITY
B
X
-
ANY AUTO
TC2JCAP1761B74208
09/01/08
09/01/09
COMBINED SINGLE LIMIT
(Ea accident)
g1, 000, 000
ALL OWNED AUTOS--
- -----
BODILYINJURY
$
_-
SCHEDULED AUTOS
(Per person)
HIREDAUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Pe, accitlenl)
------
PROPERTY DAMAGE
$
(Per accident)
GARAGE
_..
LIABILITY
AUTO ONLY - EA ACCIDENT
$
--
ANY AUTO
AA
OTHER THAN EA ACC
_-
$ _--
AUTO ONLY:
AGO
--- —-- --
5
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
55, 000, 000
A
X_ OCCUR CLAIMSMADE
QK09400696
09/01/08
09/01/09
AGGREGATE
$5,000,000
DEDUCTIBLE
X RETENTION $10,000
$
WORKERS COMPENSATION AND
XITORV LIMITS X ER
B
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
TC2JUB1761B59808
09/01/08
09/01/09
-----— - ____—___.._.
E. I. EACH ACCIDENT
$1000000
RIMEMBER EXCLUDED?
TRJUB1761H70508
09/01/08
09/01/09
E.L. DISEASE - EA EMPLOYE
$1000000
If
Il yes,desc,ibe under
SPECIAL PROVISIONS beh.
E.L. DISEASE -POLICY LIMIT
$1000000
OTHER
C
Crime
105169627
09/01/08
09/01/09
Limit $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
All coverages are subject to policy forms, conditions and exclusions. City
of Fort Collins is additional insured for General Liability but only with
regard to services provided by the insured.
City of Fort Collins
Director of Purchasing
PO Box 580
Fort Collins CO 80521
CITYOFF I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
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 50 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR