HomeMy WebLinkAboutVENDING SERVICES OF COLORADO - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MM/DD/YYYY)
VENDI-1 01/15 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 Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone:970-482-7747 Fax:970-484-4165
INSURED
Vending Services of Colorado
Inc..
5442 Boeing Dr
Loveland CO 80538
COVERAGES
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Pinnacol Assurance Company 41190
INSURER B: Depositors Insurance Company 42587
INSURER C:
INSURER D:
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.
INS
LTR INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
'GENERAL LIABILITY
EACH OCCURRENCE
$ 1000000
X COMMERCIAL GENERAL LIABILITY
ACPBPWD7504279024
PREMISES(Ea occurence)
s 300000
CLAIMS MADE F—X] OCCUR
MED EXP (Any one person)
$ 5000
B
X Business Owners
12/19/09
12/19/10
PERSONAL SADVINJURY
$ 1000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
s2000000
POLICY PRO LOC
JECT
B
AUTOMOBILE
LIABILITY
ANY AUTO
ACPBAPD7504279024
12/19/09
12/19/10
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 000 000
� �
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR F-ICLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4104021
10/01/09
10/01/10
X I TORY LIMITS I ER
E.L. EACH ACCIDENT
$ 100000
E.L. DISEASE - EA EMPLOYEE
$ 100000
OFFICER/MEMBEREXCLUDED?
If yyes, describe under
SPEC,ALPROVISIONS below
E.L. DISEASE -POLICY LIMIT
$500000
OTHER
PROPERTY 103000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Vending Service - Food & Soft Drinks
CERTIFICATE HOLDER CANCELLATION
CITYFI0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
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.
IZED REPRESE
ACORD 25 (2001/081 ACORD CORPORATION 1989