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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.