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HomeMy WebLinkAboutAD LIGHT & SIGN DBA APEX SIGN COMPANY - INSURANCE CERTIFICATEOP ID LI'zi DATE (MMIDDIYYYV) ACORD.. CERTIFICATE OF LIABILITY INSURANCE ADLIG-1 1 05 18 to PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cherry Creek Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5660 Greenwood Plaza Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greenwood Village CO 80111 Phone:303-799-0110 Fax:303-799-0156 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Westfield Insurance INSURER B: Ad Light & Sign A ex Sign Company LLC dba INSURER C: 4T50 Elati Street INSURERD: Denver CO 80216 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 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. LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X COMMERCIALGENERAL LIABILITY TRA5239525 05/20/10 05/20/11 PREMISE (Ea occurence) $ 300000 CLAIMS MADE 1XI OCCUR MED EXP (Any one person) $ 15000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2000000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO TRA5239525 05/20/10 05/20/11 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 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 $ 1000000 A X I OCCUR CLAIMSMADE TRA5239525 05/20/10 05/20/11 AGGREGATE $ 1000000 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY JOTH- I TORY LIMITS I I ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ -OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS As required by written contract or written agreement, the City of Fort Collins, its officers, agents and employees are included as Additional Insured for ongoing operations under General Liability and Additional Insured under Automobile Liability. ffya:A012[Na\I=:Is] 01]= 19FAIIrN:20VAN 9ra, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Attn : James B O'Neill II NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Dir of Purchasing & Risk Mgmt PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. AUT ZED REPRESENTATIVE AGUKD 25 (200 MB) ©ACORD CORPORATION 1988