HomeMy WebLinkAbout335264 AQUACRAFT INC - INSURANCE CERTIFICATE (2)DatcW 11/11/2009 Time: 11:00 AM To: Aquacraft @ 3037868337
• Page: 001
ACORD,, CERTIFICATE OF LIABILITY INSURANCE
11/11/2009'
PRODUCER (303)442-1484 FAX: (303)442-8822
Taggart & Associates, Inc.
1600 Canyon Boulevard
P. O. Box 147
Boulder CO 80306
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.
INSURERS AFFORDING COVERAGE
NAIC # _
INSURED
Aquacraft, Inc.
2709 Pine Street
Boulder CO 80302
Hartford Fire Insurance
19682
S,.PEr.B Hartford Underwriters Ins
30104
vlsue CNA/Continental Casualty
0194
vTHE 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
i TR
ADD-1-
INSIR
T' FL OF INSURANCE
POLICY EFFECTIVE
I POLICY 1,UM6ER DATE MMIDOIYY
POLIC" E,P!R4'l0N
DATE MM/DCNY
LIMITS
A
GENERAL LIABILITY
34SBAEP3205
08/23/2009
08/2 3/2 010
; H , , ,,,;:[,Fr,.__
2,000,000
loll e rl l i
b 300,000
X rnMMERCIAL GENFRAI_ I_IABILIT`I
CLAIMSMADE 7UCCUP
MEGEXP c,,,:r)
i 10,000
PEP:;or:a•;_ - ar,v IN.1'_�Rl
2,000,000
GENERAL
4,000,000
r.rNMr 4PPUESPER
4,000,000
X FO�ICI i.T LO%
B
AUTOMOBILE
LIABILITY
34UECIQ6546
08/23/2009
08/23/2010
e�;nnmr;-�,uIcl-le.��l
{ 1,000,000
C.. R ,
FBI , OWNED AiJTOS
-(:HED1 ILED AUTOS
U",,III Y
H14gED NJT0S
NON-OYIlED AUTOS
GARAGE LIABILITY
A_T,- ,-[JI_, -E.. ACC.GEh'
{
A�ITr:, iN'-
A
EXCESSIUMBRELLA LIABILITY
34SBAEP3205
08/23/2009
08/23/2010
_ _ _
-cC.„,-_,-.---- --
{ 1,000,000
X _cuH _-AIM:; r,-1ADE
--_
' 1,000,000
OLD! iCT[ELL
i
t
X RFTFNTION $10,000
B
WORKERS COMPENSATION AND
34WECIN4088
08/23/2009
08/23/2010
X .}J;:c�iT=, X `-
-
EMPLOYERS' LIABILITY
ANY ^R6�'F IETG E.PAR TNER/Er.EC'_''IVE
1 raCH ' I'_;r,:,
{ 1,000,OOU
EI nlsrA�E-tAEMr1nvEE{
1,000,000
OFFI[CF',n,1F�.I F,F,R EClr"'IED?
EL DISEA_E P_i IC`, LIMIT
'6 1,000,000
C
OTHER Professional
EEH114129734
6/23/2009
8/23/2010
Per claim $1,000,000
Liability - Claims
Aggregate $2 , 000, ODO
Made Policy
08/01/2001 Retro Date
Deductible $5,DOD
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate Holder is listed as an Additional Insured with respect to general liability coverage.
L.tn UrIL.A I t MULLJtrt CANCELLATION
(970) 221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Attn : Opal F. Dick 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT
PO Box 580
Fort Collins, CO 85022 FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
�-
^""" " �I ACORD CORPORATION 1988
INS025 r e os
Dates 11/11/2009 Time: 11:00 AM To: Aquacraft IS 3037868337
• Page: 002
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 after the coverage afforded by the policies listed thereon.
nrnon'. nnn. .
INS025r'ij' 2 =a=