HomeMy WebLinkAboutMARXAIRE INC - INSURANCE CERTIFICATE (3)rnvw�en
PINNACOL ASSURANCE
7501 E Lowry Blvd
Denver, CO 80230-7006
MARXAIRE INC
1001 E 64TH AVE
DENVER, CO 80229
CERTIFICATE OF LIABILITY INSURANCE DATE 103103 009 YY'
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 BELOW.
INSURERS AFFORDING COVERAGE
wsuRERA ,. PINNACOL ASSURANCE _.
INS URERE
NAIC#
41190
COVERAGES
THE POLICIES 01 INSURANCE L.IS 11=1) BELOW HAVE BEENISSUEDTO 11 L INSURED NAMI_D ABOVE FOR THE POI ICY PERIOD INDICATED. NOTWITHSTANONG
ANY REQUIREMENT, TERM OR CONDII ION OF ANY CONTRACT OR OTHER DOCUMMEN I WIII-I RL_SPECT TO WHICFI TI-I IS CPR IIPICA IF MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE ALL CREEL 13Y I I IF POLICIES DESCRIBED HEREIN IS SUBJECT lO AL.1, 1HE TERMS, EXCLUSIONS AND CONDIPIONS OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BLEA RI DUCED BY PAID CLAIMS.
INSR I APRIL I i POLICYEFFECTIVF POIICYEXPIRATION
LTR INSRD TYPE OF INSURANCE POIICYNUMBEIi DATE(MMIDD/YYYY) PAT I(MMIDID"Y'O I ANTIS
COMMERCIAL GENERAL LIABILITY
j OLAIMSMADE I,.I OCCUR
GEN'L AGGREGATE LIMIT APPLITIRS PER
J POLICY ( J PROJECTU'Ll-C
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON OWNED AUTOS
RAGE LIABILITY
ANY AUTO
OCCUR I I CLAIMSMADE
1 DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
A CMPLOYER'SIJABILITY
ANY PROPRIETO WPARTNE
II yes,please describeuntlerSPECIAL PROVISIONS below
4121552 1 03/01/2009 1 03/01/2010
EACH OCCURRENCE
DAMAGE TO RENTED
PROMISES
MED EXP(Any one person)
PERSONAL 8 ADV INJURY
GENERA. AGGREGATE
PRODUCTS COMPIOPAGG
COMBINED SINGLE LIMIT
(En Accldenl)
BODILYINJURY
(Per Per on)
BODILYINJURY
(Peroc,detl)
PROPERTYDAMAGE
AUTO ONLY EA ACCIDENT
OTHERTHAN EA
AUTO ONLY: A
EACHOCCURRENCE
AGGREGATE
YI WC STATU _J OTHER
__l_ TORY_LIMITS _
E.I. EACH ACCIDENT
EI DISEASE CA EMPLOYEE
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1137995
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE CITY OF FORT COLLINS
THE EXPIRATION DATE IHEREOF, THE ISSUING COMPANY WILL ENDEAVOR 1'0
300 LAPORTE AVENUE
MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins CO 80521
LEFT, BUT FAILURE 10 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
Cynthia Lucero
ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988
CERTIFICATE HOLDER COPY
THE CITY OF FORT COLLINS
300 LAPORTE AVENUE
Fort Collins CO 80521
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.