HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (8)01/30/2009 11:03 3037762940 AMERICAN FAMILY INS PAGE 01/01
CERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked.
6000 American Pky Madison, Wisconsin 53783-0001
Insured's Name and Address Agent's Name, Address and Phone Number (Agt_/Dlst,)
Traffic Signal Controls I Clndi A Johnson -Armitage (303) 776-9870
255 Wenver Park Rd 923 Main Street
Longmont, CO 60504 Longmont, CO 80501 (073/311)
This Certificate Is issued as a matter of information only and confers no rights upon the Certificate Holder.
This certificate does not amend, extend or alter the coverage afforded by the policies listed below.
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I Me Is to ca" tnat pops of insurance rated below have been Maued to the insured`nsmed abowa for f11e Polley period in8leated. notwithst"ng any regUtremad, term or condition of any contract or mar
*=meeki with respect to wnleh this caNtkats may be Iseued or may pertain, the ►nsu. w a Of~ ey the policies described heredt fa subject to All the terms. exclusions, and eorlaws of suet) ponder.
PUDCY
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TYPE OF INSURANCE POLICY NUMBER EMFFFC VY EXPIRATION LIMITS OF LIABILITY
Homeowners/ 8"ly "ury and Property Damage
Mobilehorneowners Liability
Each Occurrance $ ,000
scaly Injury and Prop" Damage
Boatownere Liability $ .000
Each pccurronoo
Bodily Injury and Property Damage
Personal Umbrella Liability 000
each Occurrence$ r
Farm u 'ty s Pereonal uabtity
Farm/Ranch Liability
Each Occurrence
$
'000
Farm Empbyeea Uabltty
$
Eaam Occurrence
000
Workers Compensation and
$
Employers Liability t
Each Acaaent
,000
Disiase - Each EmP"
$
.000
Oiseaea - Policy Limit
$
,000
General Aggregate
$
2,000 000
General Liability
® Commercial General
Products -c letedO r0afte Aggregate
$
,ow
Liability (occurrence) 05-X46565-02-00 6/24/2008
W412009 Perron anti Adre ' ' "
$
1,000.000
1,000
Eedmoccurrence
$
,000
❑
Darnage to PrenMaes Rarrted to You
$
100 00o
Maacal Expense (An one Person
$
5 nAn
Each Omrranoa# t
$
.000
Businessotwners Liability
Aggregsle�`
$
,000
common Cause Limit
$
r0()0
Liquor liability
Aggregate urn
$
1000
Automobile Liability
eodlly Injury - Each Parser
$
1000
❑ Any Auto
eoaty tnlury - Each Accident
$
'000
❑ Al( Owned Autos
0 Scheduled Autos
Property Damage
$
1000
❑ Hired Auto
❑ Nonownad Autos
awity Injury and Property Damage Combined $
,000
❑
F=e9e Liability
❑ Commercial Blanket Excess
SAch Occunerim/Aggregate
L
$
1000
0
Other (Miscellaneous Coverages)
D SCRIPTION OF Q ERATIONS7LOCATtONSI VEHICLES I AESTRIGTOUS/ SPECLAI. ITEMS
t Tho bmdlvidusi or partnom ahoy n sa Irmrured ❑ Hewe ❑ Have not
elected to be covered as employees under We policy.
tt Pradvctao mpleted OPomuons
awrogelo Is
ewe) to each
ecnureme Wit and is Induced In
Policy aggregate.
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:.. . _ :.C?kNCLLATLON
.{
. City Of Fort Collins expiration date thereat tha company will enoeavor to man t vayb/
P.O. eoX 580 written notice to the i?ertifieete Holder named, but failure to mail such
notice shall impose no obligation or liabilittyry of any kind upon the
Ft. Collins, C080522-0580 company, its agnts or representatives. •TO days unless different
numbber of days shown.
FaX:1 -970 224-6134 W This certifies coverageon the data of issue only. The above
described Policies are subject to cancellation in conformity with their
terms and by the laws of the state of issue.
E lssu D AUTHORIZ REPRES IV6
1/28/2009 Cindi A. Johnson Agency
U-201 Fd. 5/00 Certificate Holder Stock No. 06088 Rev. 7/02