HomeMy WebLinkAbout124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF
LIABILITY INSURANCE OP ID D BATE (MM /
PRODUCER
TOPGU-1 10 2708 08
Brown 6 Brown Inc
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
125 S Howes, 5th Floor
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226
i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone:970-482-7747 Fax:970-484-4165
_.
INSURERS AFFORDING COVERAGE INAIC#
_
INSURER
INSURER A: Pinnacol Assurance Company 41190
INSURERS Mountain states Indemnity Co. 10.177
To Gun Pressure Washing Inc.
_.
INSURER C -
501 W 67th St
Loveland CO 80538
-
INSURER _-
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.
INSR pOR' . _..
LTR INSR TYPE OF INSURANCE POLICYNUMBEft
i POLICY EFFECTIVg TPDLICEi'(R RATIONI LIMITS
DATE MMIDOM/ '. DATE MM/DDIVY LIMITS
GENERALLIABILITY
EACH OCCURRENCE
I $ 1,000,QOQ
B
X COMMERCIAL GENERAL LIABILITY
CPIO11641102
lO/31/QB
lO/31/O9
DAMAGETORENTED -- -
PREMISES (Ea occurence)
$ 100,_000
CLAIMS MADE j OCCUR'
i
_
MEDEXP(Any one person)
r$ 10,000
IX jB1kt Add-r 1. InBd.
I PERSONAL B ADV INJURY
I$1,000, DO
X Bkt Waiver of Sub
GENERAL AGGREGATE
I$2,000,000
GEN'LAGGREGATE LIMITAPPLIES PER:
-- ..._
I
PRODUCTS- COMPIOP AGG
I$ 2, 000 000
POLICY 'X ! ECT LOC
-_ --__.
I
AUTOMOBILE LIABILITY
B I ANY AUTO
HAI011641102
10/31/08
i 10/31/09
COMBINED SINGLE LIMIT
(Eaacctdent)
ALL OWNED AUTOS
---' —
I$1,000,000
I X SCHEDULED AUTOS
I
BODILY
P DIP �IONIJ)URV
$
X i HIRED AUTOS
I
X NON -OWNED AUTOS
IN
NJU
NJURY
(Per BODILYJURY
I $
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
i---,
�
AUTO ONLY EA ACCIDENT I
$
ANY AUTO
-- _-I
OTHER THAN EA ACC
I
$
i
EXCESS/UMBRELLA LIABILITY
AUTO ONLY.
AGE,$
I !OCCUR
EACH OCCURRENCE i
$ 2000000
B IX ...i CLAIMS MADE
UMB011641102
10/31/08
10/31/09 1
AGGREGATE i
$ 2000QOQ
I
$
� DEDUCTIBLE
' --
'-
XRETENTION $10000
j
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
A 4031609
X TORYLIMITS ER
I
ANY PROPRIETOR/PARTNERIEXECUTIVE
07/01/08 I O7/O1/Q9 E.L.EACH ACCIDENT
$ 1000000
OFFICER/MEMBER EXCLUDED?
es,desenbe under itSy
E.L.DISEASE EA EMPLOYEE
$ 1000006
PECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT I
$ 1000000
OTHER
H Contractors Equip �CP1011641102
10/31/08� 10/31/09Leased/Re
100,000
Ded
$500
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSION$ ADOEO BY ENDORSEMENT /SPECIAL PROVISIONS
Painting Exterior (Pressure Washing)RE: Bid
#5827 Parking Structures Snow
Removal
rconerr wrc unr nce
_-_.___ _
FTCPURC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing Department 215 N Mason IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80522 REPRESENTATIVES.
AtUlkqEIZED REPRESE
ACORD 25 (2001/08)