HomeMy WebLinkAbout457049 AAA PEST PROS - INSURANCE CERTIFICATE09/16/2009 07:44AM Pinnacol Assurance PAGE 2 OF 3
AC '" CERTIFICATE OF LIABILITY INSURANCE
DATE
OB/18/20GE
09/1D1°0`'`'"
PRODUCER
PINNACOL ASSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
Denver, CO 80230-7006
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#
IN15URED
AAA PEST PROS LLC
INBURERN PINNAGOL ASSURANCE
41190
INSURER B:
39K N 63RD STREET
1149URER D:
BOULDER, CO 80308
IIIOURER O:
INSURERE',
COVERAGES
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,
INBR
POOL
PO'JCYEFFECTNE
POUIYEXPIRATION
LTR
INERO
TYPEOFINSURMICE
PODOYNUMSER
OATEIMMIA)MYYI
DATEIMNJODNYYYI
LIMITS
OENERAL LW BILM
EACH OCCURRENCE
OMJAM TO RENTED
COMN.ERCPL GENERA-U-ILITY
CLAIMS AIME 11 OCCUR
PREMISES
MEO EXPNnY Cne person)
PER8(WALaAOVIIWRY
OEM AGGREGATE UOTAPPLIERS PER
CF_NERALAOOREGATE
PRODUCTS COMP/OP AGO
POLICY F1 PROJECT LOC
AUTOMOILE LIABILITY
CON101NED SINOLE LIMIT
ANYAUTO
IEe Attlptnp
BODILY INJURY
MLCNNEOAUTOO
SCHEDULED AUTOS
IPatperzon)
BOOILYINJURY
HIREDAUTOS
NORONNEO AUTOS
(Pete¢IoenIR
PROPERTYDAIUCv
IPE1E1 Cent)
OARAOE LWBILIIY
AUTOONLY'EAACOIOENT
OTHER THAN EAACC
MYAUTO
AUTOONLY: AO�
E XCE88IUNERELLA UARILITY
EACH OCCURRENCE
AGGREGATE
OCCUR Q ......
DEDUCTIBLE
RETENTION §
WORKERS COW ENCATION AND
A' lNC 9TAtU OTHER
A
EMPLOYER'S LIABILItt
NtlY PROPRIETOR?Mi1JER1EXE0UTIYE
4134323
09/12/2009
09101/2010
TORYUU.ITG
E.LEACHACCIDENT
$100,000
OFFlCERIIAEXOLVOED'
ELOISEABE-EA EMPLOYEE
$100.000
dmr I
byes. Cleese CnviCe under 9PECIALPRW SIONSOeICry
E.LDISEABE -POVCV LIMIT
1E00.000
OTHEfl
DESCRIPYION Of OPERA'n ONS/LOCATIONS/VEHICLESMXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1182371
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T
Attn: Purchasing Division
PO BOX 580
Fort Collins CO 80522
MAIL 0 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
Angela Jones
ACORD 25(2001108)
Unde« tinter ACORD CORPORATION 1983
09/16/2009 07:44AM Pinnacol Assurance PAGE 3 OF 3
CERTIFICATE HOLDER COPY
City of Fort Collins
Attn: Purchasing Division
PO BOX 580
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.