HomeMy WebLinkAbout457580 J F SATO AND ASSOCIATES - INSURANCE CERTIFICATEACORD'°' CERTIFICATE OF
LIABILITY INSURANCE DATE(MM/DDIYYYY)
_.... _ _.._.
04/15/2009
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PRODUCER
I _._ _._ ..... _ _..._ _...
PINNACOL ASSURANCE
j THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Denver, CO 80230-7006
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
I
COVERAGE AFFORDED BY THE POLICIES BELOW.
I INSURERS AFFORDING COVERAGE NAIC#
INSURED
J F SATO AND ASSOCIATES INC
INSURLRA PINNACOL ASSURANCE 41190
-"
5898 S RAPP
INSURE RB
LITTLETON CO 80120
wsuRERC _
NSURERD
INSURLRE
COVERAGES
_..
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR l'HE POLICY PERIOD INDICATED.-NOTW(THSTANDNG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT
WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN
IS SUBJECT TO ALL l'HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL
j POLICYFFFECIIVEI POLICY(%PIRAIION
LTR �_. INSRD _ TYPE OFINSURANCE POLICY NUMBER
pAU'IMM/DD1YYYY) I DAR(MM/OD/YYYY) LIMITS
,GENERAL LIABILITY
EACH OCCURRENCE
COMMERCIAL GENERAL_1j91LITY
pAMAGI iO RI NifO
J CLAIMS MADE f OCCUR
PRI MISES
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MEN rXP(A yo J,)S, )
PERSONAL S ADV INJURY
GEN L AGGREGATE LIMIT APIN IF,RS PER
GLNERAL AGGREGATF
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POLICY PROJECiU LOC
PRODUCTS COMP/OP AGG
AUTOMOBILE LIABILITY
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COMBINED SINGIELIMiI "
ANY AUTO
IL A UanO
ALL OWNFD AUTOS
BODILY INJURY
SCHEDULED AUTOS
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HIREDAUTOS
8
BODILY INJURY
INJURY
NON OWNED AUTOS
1 1)
1
IIP
ROPERTYDA11ADI
OR., Ta'K'q
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
ANY AUTO
OTHER TI IAN EAACCJ�
AUIO ONLY AGC,
tE%CESSIUMBRELLA LIABILITY
EACH OCCURRENCE
J OCCUR I CLAIMSMADE
AGGREGATE
DEDUCTIBLE
RETENTION S
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WORKERS COMPENSATION AND
X'i WC STATU I OTHLR 1
A EMPLOYER'S LIABILITY
ANY PROPRIETOR/PARTNERIE%IeCUTIVE 1111852
TORY LIMITS
0$1011200$ Q$/0'1/QDQ9 -_ -I
OFFICE WML'MBER EXCLUDED'
E L LACHACCIOENI $i 000000
Ely, plpasutlosc Le IUo�SPECIAL PROVISIONS LeIow
C L DISEASE LA EMPLOYEE $1000000
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....___.
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONSA°DED BY ENOORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION -- �-
_
1150111 -- -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cityof Fort Collins
THE EXPIRATION DATE THEREOF, 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 NOTICE SHALL IMPOSE NO OBLIGATION OR
Fort Collins CO 80522
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
Gloria Gardner
CERTIFICATE HOLDER COPY
City of Fort Collins
Purchasing Dept.
PO Box 280
Fort 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.