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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 ) 2oos i 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