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HomeMy WebLinkAboutPEAK ELEVATOR PERFORMANCE GROUP - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY INSURANCE REVISED D 03/12/2010 PRODUCER Serial # 109507 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MACHANN INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11160 NO. HURON, STE. 36 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTHGLENN, CO 80234 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: GREENWICH INSURANCE COMPANY INSURER B: OHIO CASUALTY PEAK ELEVATOR PERFORMANCE GROUP P.O. BOX 1021 INSURER c: NATIONAL UNION FIRE INS.CO. OF PITTSBU. INSURER D: PINNACOL BROOMFIELD, CO 80020 INSURER E: 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 POLICES 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 LTR ADVL NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESOEa occurDence $ 100,000 CLAIMS MADE �X OCCUR EGG6000383-05 MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 A PRODUCTS-COMP/OP 3/20/10 3/20/11 AGG. GENERAL AGGREGATE $ 4,000,000 INCLUDED IN GENERAL PER GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JECT LOC AGG ............................. .................... ELEVATOR AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS 50634491 2/5/10 2/5/11 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 $ 4,000,000 C X OCCUR CLAIMS MADE EBU11437546 3/20/10 3/20/11 AGGREGATE $ 4,000,000 $ $ X DEDUCTIBLE RETENTION $ 10,000 $ WORKER'S COMPENSATION AND X TORY LIMITS OER D EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 1483372 5/1 /09 5/1 /10 EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT Is 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CITY'S DIRECTOR OF PURCHASING AND RISK MANAGEMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 215 N. MASON, 2ND FLOOR IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FT. COLLINS, CO 80524 REPRESENTATIVES. UTHORIZEDREPRESSENTATIVE r ACORD 25 (2001108) © ACORD CORPORATION 1988