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.