HomeMy WebLinkAbout212187 WEATHERSURE SYSTEMS INC - INSURANCE CERTIFICATE (5)'4� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2010
6/30/2010
PRODUCER (303) 824-6600 FAX: (303) 370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3773 Cher Creek North Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Cherry ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 800
Denver CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Pinnacol Assurance 41190
WeatherSure Systems, Inc. INSURER B.
333 S. Platte River Drive INSURER C:
INSURER D:
Englewo d CO 80110-2140 INSURERE:
nnvFRAnPA
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 OFSUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
D'L
OF
POLICYNUMBER
POTICYEFFECTIVE
POLICY E%PIRATIONDAM (MMIDD
LIMITS
GENERALLIA
UTY
EACH OCCURRENCE
E
COMMERCIAL GENERAL LIABILITY
- -
I
Nam._
T RENTED
PREMISES (Ee ocaRencel
_
$
MED EXP (Any one parson)
_
$
CLAIMS MADE _ OCCUR
PERSONAL SADV INJURY
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG'$
POLICY PRO- LOC
- -
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea axident)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
- -
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per eocid.nt)
$
PROPERTY DAMAGE
(Par awdenU
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN - EA ACC
AUTO ONLY: qGG
$ _.
$
ANY AUTO
EXCESS I UMBRELLA LIABILITY
OCCUR F1 CLAIMS MADE
EACH OCCURRENCE
$
$ _.
AGGREGATE
--
DEDUCTIBLE
$
$
$
RETENTION $
A
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED)
WC STATU-
X iOTH-
--
E.L. EACH ACCIDENT
---1
--- -
$ 1,000000
E.L. DISEASE - EA EMPLOYE
$ 1, 000,000
'(Mandatory In NH)
It yea, deaodbe under
SPECIAL PROVISIONS below
3471401
7/l/2010 17/1/2011
— - -I--
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONSADDED BY ENDORSEMENT/ SPECIAL PROWSIONS
Re: 6064 Civic Center S Old Town Parking Garage
This certificate is subject to the terms, conditions, and exclusions of the policies. A 10-day notice of cancellation
will apply in the event of non-payment of premium.
City of Fort Collins
Attn: James B. O'Neill II, CPPO FNIGP
215 N. Mason Street, 2nd Floor
P. 0. Box 580
Fort Collins, CO 80522-0580
ACORD 25
SHOULD ANY OFTHE 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.
E ThrelkelREPRESENTATIVE � G� �
E Threlkeld, CRIS/CHR
40119RR-2009 ACORn CORPr1RATION All rinhfa roaervnd
INS025 (200901) The ACORD name and logo are registered marks of ACORD
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
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), 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.
ACORD 25 (2009101)
INS025 (200901)