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HomeMy WebLinkAboutREEVES SPECIALITY SERVICES - INSURANCE CERTIFICATED,, CERTIFICATE OF LIABILITY INSURANCE D4/14/D2009) 04/14/2009 PRODUCER (303) 756-9909 FAX (303) 756-8818 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keller -Lowry Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1777 S Harrison St #700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver, CO 80210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Teresa Heupel INSURERS AFFORDING COVERAGE NAIC # INSURED Reeves Specialty Services, Inc. INSURERArnnti nontat Woctonn rnn_ PO Box 472595 Aurora, CO 80047 UUVCKAVCJ INSURERB. Pinnacol Assurance 41190 INSURER C: INSURER D: INSURER E: THE HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH FRAN OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTIVEPOLICY MXPIRDAYION LIMITS GENERAL LIABILITY CWP2764842 06/29/2008 06/29/2009 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 100,000 CLAIMS MADE I X1 OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 X POLICY PRO- JECT LOG AUTOMOBILE LIABILITY CWP2764842 06/29/2009 06/29/2009 COMBINED SINGLE LIMIT S X ANY AUTO (Ea accident) 1,000,000 BODILY INJURY ALL OWNED AUTOS A SCHEDULED AUTOS (Per person) S BODILY INJURY HIRED AUTOS NON -OWNED AUTOS IPer accident) S PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT S ANY AUTO OTHER EA ACC S AUTOO ONLY: AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY CU2764843 06/29/2008 06/29/2009 EACH OCCURRENCE $ 2,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 2,000,000 A s DEDUCTIBLE i X RETENTION S 10,00 S WORKERS COMPENSATION AND 4079921 04/01/2009 04/01/2010 X WC STAT T- X OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S 1,000.000 B ANY PROPRIETOMPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE - EA EMPLOYE 5 1,000,000 If yes, describe under SPECIAL PROVISIONS belovr E.L. DISEASE -POLICY LIMIT $ 11000,000 OTHER Leased & Rented CWP2764842 06/29/2008 06/29/2009 Max Limit $25,000 A Equipment DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS .'Except 10 Day Notice for Non -Payment of Premium City of Fort Collins POBox 580 Ft. Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE -ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WMTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Troy Sibelius, CIC/TMH AGUKU ZD (ZUUvus) ©ACORD CORPORATION 1988 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. ACORD 25 (2001108)