HomeMy WebLinkAbout112606 ROCKY MOUNTAIN WILDLIFE SERVICES - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE DATE(01t3/O°°09
PRODUCER
PINNACOL ASSURANCE
7501 E Lowry Blvd
Denver, CO 80230-7006
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 NAIC#
INSURED - - IrvsURERA PINNACOL ASSURANCE j 41190
ROCKY MOUNTAIN WILDLIFE SERVICES INC - - - -- -- - --
304 PELICAN COVE
msuRlaB _... _..... ____ _.._.
WINDSOR, CO 80550 NSURLRc
INSURuen __.. ...... .... _. _
INSURFRE
COVERAGES
PIT POI ICII S OF INSURANCE-I..ISTED BEI OW I1AV1 BEEN ISSUED lO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAH D. NOIWITHSI'ANDN(
ANY RFOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMMENI' WITH RESPECT TO WHICH THIS CERTIFICATE MAY 131-. ISSUED OR
MAY RR LAIN, THE INSURANCE AFFORDED BY Till POLICIES DESCRIBED HEREIN IS SUBJECT' TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POI KITS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSIR AUDL I I POLICY L I FI.CTIVP POLICYEXPI13ATION
ITR INS130 TYPEOI`INSURANCE POLICY NUMBER UATEQdA1IDIJM'YY) UAT[(Mld/OD/YYVY) LIMITS
GLNIRAI HABIUIY EACH OCCURRENCE
COMMERCIAL GEM RAI I IABIEITY DAMAGE TO RENTED
CLAIMS MARL OCCUR PREMISES
GENL AGGREGATE LIMITAPPLIERS PER
1
I
oervmSAI AIIIIIIAll,
PRODUCTS COMP/OPAGG
JPOLICY (J PROJECT J LOG_
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
_i ANY AUTO
(Ea A<uoeor
ALL OWNED AUTOS
BODILY INJURY
SCHEOUL ED AUTOS
(P person)
HIRED AUTOS
I
BODILY INJURY
NON OWNED AUTOS
(P cmm-p
PROPERTY DAMAGE
RAGE LIABILITY nV I V VNLT
ANY AUTO OTHERTHAN
TAN
AUTO ONLY'.
OCCUR I I CLNIdS MADE
DEDUCTIBLE RETENTIONS
WORKERS COMPENSATION AND WCSTATU OTHER
A EMPLOYER'S LIABILITY TORY LIMITS
ANY PROPRIETORIPARTNERIEXECUTIVE 4081583 05/01/2008 05/01/2009 - -
C L EACH ACCIDENT
OFFICEWMEMBER CXCLUDEDP
EL DISEASE EA EMPLOYEE
If yoS.pleaco tlocci bountlarSPECIAL PROVISIONS below
EL DISEASE POLICY LIMIT
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1138228
SHOULD ANY OF IHC AI30VE DI SCRIBED POLICIES BE CANCELLEDBEFORE
of Fort Collins
THE EXPIRATION DATE. D IEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Purchasing Dept
MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
PO BOX 280
LEFT, BUT FAILURE TO MAIL SUCH NOT ICE SHALL IMPOSE NO OBLIGATION OR
Fort Collins CO 80522
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
Christina Noakes
Underwriter ACORD
CERTIFICATE HOLDER COPY
City of Fort Collins
Purchasing Dept
PO BOX 280
Foil Collins CO 80522
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.