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HomeMy WebLinkAbout273227 YENTER COMPANIES - INSURANCE CERTIFICATE12/21/2009 10:11:34 AM PST (GMT-8) FROM: insurancevisions.com-TO: 19702216707 Page: 2 of 3 AC.OR 7 �. CERTIFICATE OF LIABILITY INSURANCE1 DATE (MMIDDNYYY) 12/21/2009 PRODUCER Texas AGA, Inc. 5950 Sher Lane, Suite 500 Sherry Dallas, TX 75225 800-875-9484 www.aga-us.com 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 Yenter Companies, Inc. 20300 W. Hwy 72 Arvada, CO 80007 INSURER A: Lancer Insurance Comnany 20677 INSURERB: INSURER C: INSURER D: INSURER E: nw�nwnoa 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 =L TYPE OF INSURANCEDATE POLICY NUMBER POLICY EFFECTIVE (MMJDDIYYYYI POLICY EXPIRATION DATE (MMMDIYYM LIMITS a GENERAL LIABILITY GL8030767 12/31/2009 12/31/2010 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES EaENTEoccurence $ 100,000 MERCIAL GENERAL LIABILITY IVLI CLAIMS MADE �✓ OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 Blaster's Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000.000 1-1 POLICY �/ PRO LOG x AUTOMOBILE / LIABILITY ANY AUTO BA8030757 12/31/2009 12/31/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peraccident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO A EXCESS UMBRELLA LIABILITY XS8030777 12/31/2009 12/31/2010 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 ✓ OCCUR CLAIMS MADE XS8063183 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE WC STATU- OTH- Y LIMITS E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ It yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS City of Fort Collins, its officers, agents and employees are included as additional insureds as required by written contract for insured's work. The insurance evidenced by this Certificate will not be cancelled or materially altered, except afterten (10) days written notice has been received by the City of Fort Collins. City of Fort Collins Director of Purchasing & Risk Management John Stephen/Jan P.O. Box 580 Ft. Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE (AGA DAL) Ralph Hamm A_7� ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. CERT NO.: 6503609 CLIENT CODE: 30YENTECOM (AGA DAL) Jana BurchfieLd 12/21/2009 10:08:10 AM Page 1 of 2 12/21/2004 10:11:34 AM PST (GMT-8) FROM: insurancevisions.com-TO: 19702216707 Page: 3 of 3 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 Insureds), 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. CANCELLATION NOTICE The CANCELLATION NOTICE on the CERTIFICATE OF INSURANCE is amended to include the following wording: The Insurance Companies may cancel the described policy(ies) by mailing or delivering ten (10) days written notice of cancellation to the Named Insured for: (1) Non Payment of premium of (2) any other circumstance permitted by state law or policy conditions. ADDITIONAL INSURED DISCLAIMER Coverage for Additional Insureds can vary significantly from policy to policy and thus Additional Insured status does not guarantee protection for all losses. Coverage is subject to actual policy terms and conditions. CERT NO.: 650609 CLIENT CODE: 30YENTECOM (AGA DAL) Jana OUGhfieLd 12/2L/2009 10:08:10 AM Page 2 Of 2