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HomeMy WebLinkAboutAQUA CRAFT - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE IM111/05 YYYI 10/162008 PRODUCER (303)442-1484 FAX: (303)442-8822 Taggart & Associates, Inc. 1600 Canyon Boulevard P. O. Box 147 Boulder CO 80306 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# INSURED Aquacraft, Inc. 2709 Pine Street Boulder CO 80302 INSURERA:Hartford Fire Insurance 19682 INSURER B:Hartford Underwriters Ins 30104 INSURERC:Victor O. Schinnerer 0194 UR S NER D: IN U'Fa 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 CLAIMI INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDM' LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 PREMISES JETO a RENTED $ 300,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any oneperson) $ 10,000 A CLAIMS MADE OCCUR 34SBAEP3205 8/23/2008 8/23/2009 PERSONAL & ADV IRV $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS �C MPIOP AGG $ 4,000.000 X POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 X BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS 34UECI06546 8/23/2008 8/23/2009 BODILY INJURY (Per accitlent) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO q $ AUTO ONLY. AGG EXCESSIUMBRELLA LIABILITY EACH OCCURBENCE $ 11000,000 AGGREGATE $ 11000,000 X OCCUR CLAIMS MADE $ $ A DEDUCTIBLE 34SBAEP3205 8/23/2008 8/23/2009 $ X RETENTION 10,000 B WORKERS COMPENSATION AND WC STATUS OTH- TORY I WIT ER E.L. EACH ACCIDENT $ 1,000,000 EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E. L. DISEASE - EA EMPLOYEE$ 11000,000 OFFICERIMEMBER EXCLUDED? 34WECIN4088 8/23/2008 8/23/2009 E. L. DISEASE -POLICY LIMIT $ 11000,000 Ryes, closer beantler SPECIAL PROVISIONS below C OTHER Professional EEH114129734 8/23/2008 8/23/2009 Per Occurrence $1,000,000 Liability Aggregate $2,000,000 Deductible $5, 000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured with respect to general liability coverage. CERTIFICATE HOLDER CANCFI. I. ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Purchasing Division 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT PO BOX 580 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Fort Collins, CO 85022 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Martha Pompeo/LJK ACORD 25 (2001108) 1 NS025 (0108).08a © ACORD GURPURATION 19UU Page i of 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. ACORD 25 (2001/08) INS025 (01o8).o8a Page 2 of 2