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HomeMy WebLinkAboutPEAK ELEVATOR - INSURANCE CERTIFICATEACORD„ CERTIFICATE OF LIABILITY INSURANCE REVISED 1 ATE D 03/17/2009Y/ PRODUCER Serial # 109507 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MACHANN INSURANCE AGENCY 11160 NO. HURON, STE. 36 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTHGLENN, CO 80234 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: GREENWICH INSURANCE COMPANY PEAK ELEVATOR PERFORMANCE GROUP INSURER B: OHIO CASUALTY P.O. BOX 1021 INSURER c: NATIONAL UNION FIRE INS.CO. OF PITTSBU. INSURERD: PINNACOL BROOMFIELD, CO 80020 INSURER E: COVERAGES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSRL TYPE OF INSURANCE POLICY NUMBER PDATE MMIDDIYYE PDATE EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X❑ OCCUR EGG6000383-04 DAMAGE OEaoccuence $ 100X0 MEDEXP (Anyone person) $ 10,000 A *PRODUCTS-COMP/OP 3/20/09 3/20/10 PERSONAL &AOVINJURY $ 1,000,000 AGG. GENERAL AGGREGATE $ 3,000,000 GEN, AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG 5 INCLUDED IN GENERAL PER POLICY PE° E7Loc AGG ............................. .................... ELEVATOR AUTOMOBILE X LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,OOD,ODO BODILY INJURY (Per person) 5 B ALL OWNED AUTOS SCHEDULED AUTOS 50634491 2/5/09 2/5/10 BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accitlent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE EBU083330308 1/12/09 3/20/10 EACH OCCURRENCE_ $ 4,000,000 AGGREGATE $ 4,000,000 $ $ X DEDUCTIBLE RETENTION $ 10,000 Is D WORKER'S COMPENSATION AND EMPLOYERS'LIABILITV ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED' If SPes, describe Lnder ECIAL PROVISIONS below 1483372 5/1/08 5/1 /09 X WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE $ 1,000,000 EL DISEASE -POLICY LIMIT S 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY'S DIRECTOR OF PURCHASING DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN AND RISK MANAGEMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 215 N. MASON, 2N D FLOOR IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FT. COLLINS, CO 80524 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988