Loading...
HomeMy WebLinkAboutWESTERN STATES LAND SERVICES - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID JS DATE (MMIDD/VYYY) WEST E-1 12 09 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Richards, Seeley, & Schaefer, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3640 W. 112th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Westminster CO 80031 Phone:303-429-3561 Fax:303-427-0611 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: American States Insurance INSURER B: Pinnacol Assurance Western States Land Services INSURER C: 505 N Denver Avenue INSURER D Loveland CO 80537 - ------ -- --- .._._—_ ___ INSURER E: '.M*111a:I_T"= 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. LTR O` NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLIO-S'EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE LX l OCCUR 02B088794500 12/15/08 12 /15/09 "DAMAGET(EaENTED"_.__0 PREMISES (Ea occurence) $ 250, ODD MED EXP (Any one person) $ 10,000 PERSONAL &AOV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _. PRO- POLICY 71JECT LOCI A AUTOMOBILE LIABILITY ANY AUTO 02CD15012460 01/30/09 01/30/10 COMBINED SINGLE LIMIT accident) $ 1,000000(Ea X --- BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X HIREOAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ --- � � - OTHER THAN EA ACC -- $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR �, I CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 1803222 01/01/09 01/01/10 X TORY LIMITS ER --- TQ ------ E.L.EACHACCIDENT -- $100,000 _.. E.L. DISEASE- EA EMPLOYEE — $ 100,000 OFFICER/MEMBER EXCLUDED? If yes, describe under — --- E.L. DISEASE -POLICY LIMIT $500,000 SPECIALPROVISIONSbelow OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Ft. Collins Mr O'Neil PO Box 580 Ft. Collins CO 80522-0580 C�L•L`LN��9ilYH]PI CITY019 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI01 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 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001108)