HomeMy WebLinkAboutANCORP - INSURANCE CERTIFICATE (5)INSURED
ANCORP
KILPATRICK PLUMBING
6340 W 56TH AVE UNIT 7
ARVADA CO 80002
293-949-4 1 COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE POLICY NUMBER I ATE MMFDDIYYE POLICY EFECTIVPDATE ( MOLICY PDD/YYON I - LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
BUSINESSOWNER'S POLICY
9403310
11 /26/08
11 /26/09
GENERAL AGGREGATE
$1 UUU UUU
PRODUCTS - COMP/OP AGG
$ 2,000,000
PERSONAL & ADV INJURY
$ 1 000 000
EACH OCCURRENCE
$ 11000,000
X
FIRE DAMAGE (Any one fire)
$ 50,000
MED EXP (Any one person)
$
...
AUTOMOBILE
LIABILITY
ANY AUTO-
ALL-Cl WNEDAUTOS;
.. .. ..
SCHEDULED,AUTOS;;'
HIRE U OS
,.NON =OWNED AUTOS ,;, :>'
`' .'.. ;<:.' .::. .:.
1 -
... �.
j..
..........
., ., : ,
_�.
V
-
.... .
- ..,
COMBINED SINGLE LIMIT
$
BODILY INJURY'
.(Per person) .
" $ "
B DILY INJURY
(Per accident)
S.
PROPERTY DAMAGE
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$ -
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
9814310
-
06/01 /09
06/01 /10
X WC STATU- OTH
TORY LIMITS ER
'EL EACH ACCIDENT
!�
$. 1: 000.000
EL DISEASE - POLICY LIMIT
$ 1,000,000
EL DISEASE - EA EMPLOYEE
$ 1,000000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
2939494 ' 17
CITY OF FORT COLLINS
-PO" BOX 580
FT-COLLINS CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED -POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
i
OF ANY KIND UPON THE COMP, , ^ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIV /J / - . , .41" .-" - -- - "-- - - "" - " - -