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HomeMy WebLinkAbout117101 VISION GRAPHICS INC - INSURANCE CERTIFICATE (4)ACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12 2 2008 PRODUCER Phone: 307-635-4231 Fax: 307-635-4237 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis HRH - Ed Murray & Sons P O Box 1388 1904 Warren AV ONLY AND CONFERS NO RIGHTS HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED UPON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOW. Cheyenne WY 82001 INSURERS AFFORDING COVERAGE NAIC_#_ INSURED Vision Graphics, Inc. 5610 Boeing Dr INSURERA:Hartford Casualty Insurance Co 9424 INSURERB:Hartford Underwriters Insuran 210104 — INSURER c: Pinnacol Assurance - -------- 1190 Loveland CO 80538 INSURER D. _ _ INSURER E: COVERAGES 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 LTR ADDI NSRC TYPEOFISURANCE POLICYNUMBER POLICYEFFECTIVE DATE (MMIDOfM POLICY EXPIRATION DATE MIDD LIMITS A GENERALLIABILITY 34SBQPI2489 7/19/2008 7/19/2009 EACH OCCURRENCE $1000000__,.___,_ PREMISES (Ea occurence_—_$1000000 $ COMMERCIAL GENERAL LIABILITY MED EXP(Any one person) ICLAIMS MADE Ix, I OCCUR _1$10000 PERSONAL& ADV INJURY $ 1000000 GENERALAGGREGATE $ 2000000 PRODUCTS- COMPIOPAGG _ $2000000 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY PRO- ECT OC $ AUTOMOBILE LIABILITY ANYAUTO 34UECTZ8421 7/19/2008 7/19/2009 COMBINED SINGLE LIMIT (E... Went) $ 1000000 $ -- BODILY INJURY (Perperson) $ ALLOWNEDAUTOS�� SCHEDULED AUTOS BODILY INJURY (Peraccidenl) $ X X__ HIREDAUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ ANYAUTO OTHERTHAN EAACC_ $ AUTOONLV: AGG $ A EXCESS/UMBRELLA LIABILITY 34SBQPI2489 7/19/2008 7/19/2009 EACHOCCURRENCE $2000000__-_ X OCCUR 11 CLAIMS MADE AGGREGATE $2000000____ $ DEDUCTIBLE $ X RETENTION $10000 (" WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIRIPARTNCUTIVE 4126280 7/19/2008 7/19/2009 X WEC YL"T ,�ER --"- - _--- — E.L. EACH ACCIDENT — E.L. DISEASE - EA EMPLOYEE _$_5�0000 $ SOOOOO OFFICERIMEMBEBEREXCLUDED?EO� I(yes,descdbe under SPECIAL PROVISIONS below E.L. DISEASE:POLICYLIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS ertificate holder listed as additional insured if required by written contract. This certificate of insurance neither affirmatively nor negatively amends, extends, or alters the coverage afforded by the policies shown. City of Fort Collins Purchasing Division PO Box 580 Fort Collins CO B5022 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE IFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 25 1988 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.