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HomeMy WebLinkAbout398578 EQUINOX PUMP & CONTROLS LLC - INSURANCE CERTIFICATE (2)OP ID: DR ACORL7' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 10/15/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER-'- 303-996-7801 CRS•Insurance BPokee ra 9 303-757-7719 Commercial Risk SolUtions DBA I 6600 E. Hampden Ave. Denver, CO 80224 NAME: CT aac°NN Ext : FAXNo . E-MAIL - -- ADDRESS: — PRODUCER cusroMER ID #: EQUIN-1 ven INSURERS AFFORDING COVERAGE NAIC # INSURED Equinox Pump & Controls, LLC INSURER A: Continental Western Group P.O. BOX 100 INSURERB: Plnnacol Assurance Henderson, CO 80640 INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR LT TYPE OF INSURANCE ADDL. INSR V POLICY NUMBER Y EFF MM/DDYYY /Y POLICY EXP MM /DD/YYYY LIMITS A • - GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X CWP2709759 - 08/21/10 08/21/11 _ _. __- EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ � MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE .$ _ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: -X POLICY PRO LOC PRODUCTS - COMP/OP AGG $_ 2,000,000 $ A -, AUTOMOBILE LIABILITY - ANY AUTO _ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CWP2709759 - 08/21/1-0 08/21/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,090,000 - X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ UMBRELLA LIAB EXCESS LIAB OCCUR NO COVERAGE WITH CRS EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A 4109726 11/01/10 11/01/11 x( WC STATU- OTH- TCRYLIMITS I I ER E.EACH ACCIDENT L. $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins is included as additional insured on the General Liability with respect to operations of the named insured for the certificate holder. VtK I II-IUA I t I'1ULULK I:ANI:tLLA 1 IUN CIFORTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins„ CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD