HomeMy WebLinkAbout280698 NORTH STAR DESIGN INC - INSURANCE CERTIFICATE (2)ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE
07-14-2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
POINTS WEST INSURANCE/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
�344653 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
'PO BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED I INSURER A: The Hartford Ins Group
INSURER B
NORTH STAR DESIGN, INC. INSURER C:
1 7 0 0 AUTOMATION DR. UNIT I INSURER D:
WINDSOR CO 80550 INSURERE:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS
LTR DATE IMM/DD/YYI DATE IMMIDD/YYI
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE I�� OCCUR
GENT AGGREGATE LIMIT APPLIES PER:
1 PRO -
POLICY JECT LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
COMBINED SINGLE LIMIT $
IEa accident)
BODILY INJURY
(Per person) $
BODILY INJURY
(Per accIdent
I
�
rrty rtrs r UHNIHI�t
I
IPer accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
j WORKERS COMPENSATION AND X WC IMIUT O LR
TORY LIMITS ER
A EMPLOYERS' LIABILITY 34 WEC T02 3 91 0 9 / 01 / 0 9 1 0 9 / 01 / 10 E.L. EACH ACCIDENT $1 , 0 0 0 , 0 0 0
E.L. DISEASE - EA EMPLOYEE $1 , 0 0 0, 0 0 0
I I
_ E.L. DISEASE - POLICY LIMIT $1 , 0 0 0 , 0 0 0
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
City of Fort Collins
Purchasing Division
P.O. Box 580
Fort Collins, CO 80522-0580
HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
XPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
5 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
OLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
BLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
EPRESENTATIVES.
ATIVE '7
ACORD 25-S (7/97)
" ACORD CORPORATION 1988