HomeMy WebLinkAboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (2)10/20/2010 03:32 970-785-0708
•
PLATTEVILLE LIBRARY
PAGE 01/01
Commercial Certificate of Insurance FA R ME R S
Agency Russ Insurance Agency
Name
3545 W 12tb St
Issue Date (MM/DD/YY)
& #203
Address Greeley, CO 80634
This cett1ficke is issued as a matter of Information only and rrnrfen no rights
upon the certificate holier -'.phis certificate does not amend, extend or alter the
St. 07 Dist. 04 Agent 52
coverage afforded by the policies shown below.
Companies Providing CovetW:
tnsurea
Company A Truck Insurance Exchange
. AFT M- MAGE LANDSCAPING INC
Name 605 MARION AV1?
unv
Company B Farmers Insurance Exchange
C Mid -Century Insurance Company
Address • PLATTEVIL.LE, CO 8065IatY`r'y
GLetorm IT C
Bristol West
Coverages
This is to certify that 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. Limitx shown may have been reduced by
aid claims.
co'
Ur.Date
Type of insurance
Policy Number
Policy Efrective
(MM/DDrM
policy Expiration
Date (MMIDOr l
policy Limits
A
X
General Liability
60471,8846
10/19/10
03/02/11
General Aggregate
$ 2,00o,000
X
Commercial General
Products-Comp/OP5
Aggregate
$ 2,000,000
Liability
Personal &
K
- Occurrence version
Advertising Injury
$
Contractual - Incidental
Each Occurrence
S 1,000,000
Only
Fire laamage
(Any one Ore)
$ 100,000
Owners & Contractors Prot.
Medical Expense
(Any one person)
$ 5000
D
it
Automobile Llabillty
G00-3283170-02
10/23/.10
04123/11
Single
Limit
Ali Owned Commercial
S
Autos
Bodily 1.rq[�ury
?C
Scheduled Autos
(Perp—)
$1001.0011
Hired Autos
Bodily Injury
(Per acddehQ
$ 300,000
Non -Owned Autos
Garage Liability
I
Property Damage
$ 1.00,000
Garage AWegate
$
llmbrena Liability
Limit
$
workers' Compensation
status y
and
Each Accident
$
Employers' Liability
Disease - reach .EtnptnyM
Disease - Policy Limit
$
$
Description of Operattons/Vehicles/Restxictions/SpecW items:
City of Ft Collins has been added as an additional insured to this policy.
ATTN: JO1W
FAX #221.-6707
Certificate Holder
Cancellation
. CrrY OF FT COLLINS
Should any of the above described policies he ranrelled before the expiration date
Name PO BOX 580
thereof, the issuing company will endeavor to mail 30 days writtPn notice to the
&
certificate holder named to the left, but failure to mail such notice shall impose no
Address FT COLLINS, CO 80522
obligation or liability of any kind upon the company, its agents or representatives,
Ian C. Russ
Authorized Representative
r,e-z4az 4-94 Uopy Uisttlbution: Nervice Center Copy and Agent's CoM rl.ot