HomeMy WebLinkAboutVENDING SERVICES OF COLORADO - INSURANCE CERTIFICATE (2)ACORp,. CERTIFICATE OF LIABILITY INSURANCE OPID L
DATE(MMIDDIYYYY)
vENDI-1
1 09/09/09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown & Brown Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 2226
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone: 970-482-7747. Fax: 970-484-4165 _..
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
INSURER A: Pinnacol _Assurance Company j
41190
Vending Services of Colorado
INSURER America Casualty of Reading,
.- - --
20427
--
Inc.
INSURERC continental casualty Company.
20443
5442 Boeing Dr
Loveland CO 80538
NSURERD
-- _. -- - -
-
i INSURER E: j
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 AOD'L - - --(-- --_-- _--- POLICY EFFECTIVE -i, POLICYEXPIRATIONj - -
LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMIDDIYY LIMITS
GENERAL LIABILITY
, EACH OCCURRENCE
$ 1000000
I COMMERCIAL GENERAL LIABILITY B1035108151
PREMSESO(Ea occurence)
$ 300000
CLAIMS MADE I X 1 OCCUR
I
MED E%P (Any one person)
$ 10000
B
IXIBusiness Owners 12/19/08
I
12/19/09
PERSONAL & ADV INJURY
$lOOOOOO
1
GENERAL AGGREGATE
$ ZOOOOOO
I GEN'LAGGREGATE LIMITAPPLIES PER: i
PRODUCTS COMP/OP AGO
$2000000
PRO -
POLICY JECTPRO I LOG
AUTOMOBILE LIABILITY j
COMBINED SINGLE LIMIT
C
X I ANY AUTO B1035108165 12/19/08
12/19/09
(Ea accident) _
$1 OOO OOO
r r
ALL OWNED AUTOS
--I
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
- _--
_--
HIRED AUTOS (
-I
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
-__ --_ --
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY,EAACCIDENT
j $
. ANY AUTO
OTHER THAN EAACC
I $
AUTO ONLY: AGG
$
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
JOCCUR CLAIMS MADE
AGGREGATE
$
DEDUCTIBLE
$
j RETENTION $
1
$
WORKERS COMPENSATION AND
XITORY LIMITS, ER
A
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERJEXECUTIVE 4104021 10/01/09
lO/Ol/lO
EL EACH ACCIDENT
1 $ 100000
OFFICERIMEe.nde, EXCLUDED?
yes, describeantler
E.L.DISEASE EA EMPLOYE
$ 100000
S
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
I $500000
OTHER
I
i
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Vending Service - Food & Soft Drinks
CERTIFICATE HOLDER CANCELLATION
CITYFI O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATR)t
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Purchasing Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
215 N. Mason St.
Fort Collins CO 80521 REPRESENTATIVES.
ACORD CORPORATION 1988