HomeMy WebLinkAbout124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATE (7)OP ID DATE (MM/DDIYYYY)
.4CORD_ CERTIFICATE OF LIABILITY INSURANCE TOPGU-1 07/16/10
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 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 INSURER A: 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.
LTR
INSRE
TYPE OF INSURANCE
POLICY NUMBER
DATE (MM/DD/YY)
DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
B
X
X COMMERCIAL GENERAL LIABILITY
CPI011641103
10/31/09
10/31/10
PREMISES (Eaoccurence)
$ 100,000
CLAIMS MADE X❑ OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
'
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OPAGG
$2,000,000
POLICY PEa LOC
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
BAI011641103
.10/31/09
10/31/10
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 , OOO , OOO
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
B
B
X
X
HIRED AUTOS
NON -OWNED AUTOS
BAI011641103
BA1011641103
10/31/09
10/31/09
10/31/10
10/31/10
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 5000000
C
X OCCUR CLAIMSMADE
UMB011641103
10/31/09
10/31/10
AGGREGATE
$ 5000000
$
DEDUCTIBLE
X RETENTION $ 10000 -
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4031609
07/01/10
07/01/11
X TORY LIMITS ER
E.L. EACH ACCIDENT
$ 1000000
E.L. DISEASE - EA EMPLOYEE
$ 1000000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$ 1000000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Pessure washing in Old Town down town side walk & paver area
l.tK I IFIL.A I t MULUtK CANCELLATION
CITYFT7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
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
Building & Zoning IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
281 N College
Fort Collins CO 80522 REPRESENTATIVES.
and assignees, and the ownership entities of their owned or managed
properties as permitted by law