HomeMy WebLinkAbout350054 COLORADO WATER WELL PUMP - INSURANCE CERTIFICATEACORD
PRODUCER
PINNACOL ASSURANCE
7501 E Lowry Blvd
Denver, CO 80230-7006
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ 07„ 7/2009 )
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED
COLORADO WATER WELL PUMP SERVICE AND SUPPLY INC
1201 PECOS
DENVER, CO 80204
INSURERS AFFORDING COVERAGE NAIC#
IN';UJ ER A PINNACOL ASSURANCE 41190
kINS
SURER B
SURER C
SURER D
URER E
:OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW -HAVE -BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG
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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. j
INSR ADD'L POLICY EFFECTIVE I POLICY EXPIRATION
A
TYPE OF INSURANCE
_GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIERS PER
1 POLICY LI PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS/UMBRELLA LIABILITY
OCCUR I I CLAIMS MADE
_ DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYER'S LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
It yes, please describe under SPECIAL PROVISIONS below
OTHER
POLICY NUMBER
4054615 1 07/01 /2009
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
1171080
City Of Ft Collins
PO BOX 580
Fort Collins CO 80522
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES
MED EXP(Any one person)
PERSONAL B ADV INJURY
GENERAL AGGREGATE -
PRODUCTS - COMP/OP ASS
COMBINED SINGLE LIMIT
BODILY INJURY
BODILY INJURY
PROPERTY DAMAGE
(Per acciden0
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY AG
EACH OCCURRENCE
AGGREGATE
XI WC STATU- I OTHER
TORY LIMITS l
07/01 /2010
E.L EACH ACCIDENT $100,000
E.L DISEASE - EA EMPLOYEE $100,000
E_L DISEASE - POLICY LIMIT 500 000
I
CANCELLATION
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 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Kelsey Caldwell
ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988