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Home My WebLink About124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATE (6)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDD/YYYY) TOPGU-1 06/23 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Pinnacol Assurance Company 41190 INSURER B: Mountain States Indemnity Co. 10177 Top Gun Pressure Washing Inc. INSURERC: Mountain States Mutual 14648 50D W 67th St INSURERD: Loveland CO 80538 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. ,NjimLTR INSRADD'N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY XPIRATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACHOCCURRENCE $1,000,000 B X COMMERCIAL GENERAL LIABILITY CP1011641103 10/31/09 10/31/10 PREMISES Eacccurence) $ 100,000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 10 , OOO PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG s2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1OOO B X ANY AUTO BAI011641103 10/31/09 10/31/10 (Ea accident) , f000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS - BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGELIABIUTY. AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ 5000000 C X OCCUR F ]CLAIMSMADE UMB011641103 10/31/09 10/31/10 AGGREGATE $5000000 $ DEDUCTIBLE X RETENTION $10000 $ I --WORKERS COMPENSATION A.0 TATU — -� TOWRCIS ITS IOIH ER ---- - A EMPLOYERS'LIABILITY 4031609 07/01/10 07/01/11 E.L. EACH ACCIDENT $1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? E.LDISEASE- EAEMPLOYE $ 1000000 Uesdescribe under E.LDISEASE-POLICYLIMIT $ 1000000 AL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City, its officers, agents and employees shall be named as additional insureds on the General & Auto Liability GtKIII IGATE HOLDER CANCELLATION City of Fort Collins John Stevens Purchasing Department PO Box 580 Fort Collins CO 80522 ACORD 25 (2001/08) FTCPURC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. © ACORD CORPORATION 1988