HomeMy WebLinkAbout101127 4-K PAINTING AND DRYWALL INC - INSURANCE CERTIFICATE (3)- 21,00 0-AW INSUP,ANCE Fay. 19702BU231 Apr 29 2009 01;59um pov/002
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�A pBU CERTIFICATE OF LIABILITY INSURANCE ( OAPE(Mp4j2,/209912m00)
_
PRODUOER 970223.-`]924 FAX (970)Z67-2231 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Colorado 6W Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
iDa 5 W Horsetooth Rd, Ste 106 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL.TER THE COVERAGE AFFORDED EYTHE POLICIES BELOW.
Fort Collins, CO 60526
eNSURERL AFFORDING COVERAGE I NAIL p
2900 Galway INSURER B.
Laporte, CO 80555 ,:NJURERC:
LYiUREP. D:
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THE PO XOIF8 OF INSLIRANGE U,F'EP EF.LO,N HAVE BF.EWSSUED TO THE iNsURED NAKED AEuv!F FOR THE POL 1,Y PERIOD INDICATED. NOT'PATHSTANOING
ANY R=.OUIREMENT, TERM OR.CONDITON OF ANY cowr.;A.CT OR OTHER DOCI„it7E4T VVITI REVS ECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
INAY PERTAIN, THE I1,18WRANCE AFFORDED 8Y THE PDUCZE! DESCRIBED HEREA IS SUBZ..GT TO.ALL THEF l ERMS, EXCL IJSIONE AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS 6NOWN. MAY HOVE BEEN R;,000ED BY PAID CIAIPAS.
INSR
00'
TYPE GFINSUFIANCE
PDNV'Y NUM[eR
FtlLICY- P G NE
r0U1"'IXPIRATIDH
LAMITS
OENBRAL LJAMUTY
X,..r)MMERCIALrEENERAL.IABILITY
CLAIMS MADE (}'.� OCCUR
CNP270615822
Q7/23/2008
Q7/23/ 2009
EA0H OOGURFYNCE
AMA6ETOkENTED 1
r.R6L1.lDE`:O R
IAEDERP(tWynna Gerson;—S
_
� QQ
5 250,000
5,00
A
FERSONALR.ADVINAiRY
F ]. 000a00
iENERALAGGREGATE.
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.F 2J000,OQ
GEt!'LAOCiREGA'fE UtdP"/ f-il`_€FEft:
PRODIUCTS. CAMP/OP AO21E
2 000, 0O
._j FPO—
PDL:GY X JG3T__ LGC
_._
AI-OMOVI-9[JABILITY
COMBINED DINGLE LIMIT
--f—
IS
ANY AUTO
IE5 s vn!)
I .�
ALL OWNF-D AV, 0£
i
uUI) Ly INJUR"
SCHEDULED AUT05
f
d`5r pereo")
:FBODILY IIJJLRiV
H, a:sYtlm+p
$
HIRED AVTOS
I
N0F_UlVREO AV'US
� lFaY aai:funlJ
WAAGE LIABILITY
_AUTO ONLY. EAACCIOENI'
OTHERTHAN EAACC
AUTO ONLY: AGG
S
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5 _
ANYAUTO
JIEXCE3wNMBHEl1AL1AEILN'f— -___ _
8E003623578
OCCUR � CLIVJSLM.OE
68/27/2008
o /27 20Q9
EA",QICURRENCE
11_—. 2,000 000
AGGFEf:ATE —,
�1g13
s 2,000,000
_J
�� DEDtJ:TIDLE
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, X RETENTION $ 1D,0D� �^
IS
n'ORHBRG CDMPExsantiN AND 4080430
WOSOSS COMFWnSY
07/OI/2R0
I
2009
X
YLNE11. &'rmpl-�_'_
1
C ANY-"ROPPIETORPARTN2RC'FECUTNE
I
I
ELEACHACCIDENT
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8 500,00
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E.L.OISEAEE__EA"."L, I E
2500, QQ
OF�.CEWMEMEEF:EXvLUP+fD�
If yd'd, i6'aC1ij4.lI1CG�
SPECIAL ❑fiGVI$IONN bc'ra:
j
'` -�
E.L. 013EASE-FbAIyV Llld2 $ SQQ, QQ
oENDORSEMENT /SPECIAL PRO VISIONS
)4ENIC6E&lEXCiart Additional
D.SORIerti FOPERA'OON9! dar is
he certificate ho�der is named as art Additional Insured with respect to the ongoing operations of the
amed Insured on the General Liability only.
City of Fort CrAl tins
Purcha5inq Department
PO Box 580
Fort Collins, CID 805Z2
SHQQLD ANY OF THE ABOVE DESCRIBE@ POLICIES BE CANCRLLSD BEFORE THE
F-XPiHATION GATE IHEREOF. THE 16$1,1I1,10 INSURER tMLL DN 0SAVOR TO MAIL
_30 DAYS WAITTIN NOTICE TO THE OERTMICATE HOLDER NAAED TO THE LEFT,
BUT FAILU RE'rO MAIL SUCH NOTICE SHALL RAMOSE NO OBLIGATION OR LIABILITY
�siuAlirz-.a,Bpr is MIS JYMPm P00MO
IMPORTANT
If the certificate holder is an ADD710NAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate doe not confer ; icnts to the certificate holder in lieu of such endorsement(s).
If SUBROGA?i0N 15 subject to the tams and oondiGcns of the policy, certain policies may
require an endorsement. A statement on this oerfificate 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 insur er(s), authorized represardative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage aHordod.. by the policies listed thereon,
ACORD 26 (2001108)