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HomeMy WebLinkAboutFIREGUARD - INSURANCE CERTIFICATE (3)ACORD.,. CERTIFICATE OF LIABILITY INSURANCE 13.17/2008Y' PRODUCER (719)636-5166 FAX: (719)473-6694 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Stroup Insurance Services, Inc. 500 N. Circle Drive #207 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Colorado Springs CO 80909 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Arch Insurance Company Fireguard INSURERS Pinnacol Assurance P.O. Box 1114 INSURER c: INSURER D: Fort Collins CO 80522 INSURER EOVERAI 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. RE ATE LIMITS SH WN YH V BEE ED CE Y ID CLAIMS, QA INSR AOD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MINORITY POLICY EXPIRATION DATE MM/DDNY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMGES GET6R occurrDen S 100,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE DO OCCUR MFGLO6547703 11/3/2008 11/3/2009 MED EXP (Any one erson S 5,000 PERSONAL ADV INJURY S 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JE OT LOC PRODUCT -COMP/OP A $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) S HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: ASS EXCESS/UMBRELLA LIABILITY E8CH QCCCRRENCE $ AGGREGATE S OCCUR CLAIMS MADE S $ DEDUCTIBLE S RETENTION $ ON AND WORKEREMPLOYERS.LIABILITY EMPLOYERS' LIABILITY X WC SIATU- 'ER - E.L. EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under 4127098 10/14/2008 10/l/2009 EL DISEASE - EA EMPLOYEE $ 100, 000 E.L. DISEASE -POLICY LIMIT S 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Fire Suppression Systems - Installation, servicing or repair City of Fort Collins Attn: Doug 835 Wood Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ACORD 25 (2001/08) INS025 (01o8).osa AUTHORIZED REPRESENTATIVE > 1 _.. Connie Stevenson/ANDY © ACORD CORPORATION 1988 Page 1 of 2 It►i17�IDe1►�Y� 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. INS025 (oi o8).o8a Page 2 of 2