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HomeMy WebLinkAboutGRAFFITTIS INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYY) GRAFF-1 01/07/10 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 O B 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ox Fort Collins CO 80522-2226 _ Phone: 970-482-7747 Fax: 970-484 �41.65 �; j, i INSyURERS AFFORDING COVERAGE NAIC # INSURED ii I;' vU1I�'L`• 'J L-' 'INsuRERA: Pinnacol Assurance Company 41190 - 1 r ,�� rl ke��)•$.V 4 2010 Graffitti s Inc. dba: I Hauling- & Cleanup Servi�ce� ,INSURER B: Argonaut -Midwest Insurance Co. 19828 1 A ', wsuRERc: Colony Insurance Company 39993 -.- - INSURER0: PO BOX 7634 Loveland CO 80537-0634 ; INSURER E: 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. IASR'ADO LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1K OCCUR GIL3 63 67 62 12 / 11 / 10 12 / 11 / 11 EACH OCCURRENCE $ 1000000 1AMAGI= T6RENT PREMISES (Ea occurence) $ 100000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC PRODUCTS - COMP/OP AGG $ Included B B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRUCKERS TP8007230 _ 12/11/10 12/11/11 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE accident) $ ri(Per GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ A WORKERS COMPENSATION AND- - EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? If yes, describe under SPECIAL PROVISIONS below - 4007823 - 01/01/10 01/01/11 TORY LIMITS ER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Garbage, Ash or Refuse Collecting CERTIFICATE HOLDER CANCELLATION CITYFT5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 281 N College Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. AUTHORI REPRESENTATIVE Jy- ACORD 25 (2001/08) IrR/ �„y fGXf 6VI U ACORD GURPURA i IVN 191515