HomeMy WebLinkAbout473556 FINISHING TOUCH - INSURANCE CERTIFICATEA-�D. CERTIFICATE OF LIABIL
PRODUCER (970) 834-1337
CROSSROADS INSURANCE AGENCY FAX: (970) 934-1393
229 2NL1 AVENUE
P.O. HOx 1010
AULT CO 80610-1010
INSURED
FINISHING TOUCH
39458 WCR 33
P.O. BOX 1303
KVl+-x CO R0610-1309
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL
REQUIREMENT; TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCI
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
VTR ADO'L POLICY EFFECTIVE POLICY EXPIRATII
_TR D TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMIDDm
A GENERAL LIABILITY C8P-�8722054 10/12/2009 10/12/2011
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE � ] OCCUR CBP-8722054 10/12/2010 10/12/201'
AGGREGATE LIMIT APPLIES PER'
AUTOMOBILE LIABILITY N/A
ANY AUTO
ALL OWNED AUT05
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE uABIuTY
ANY AUTO N/A
EXCESSIUMBRELLA LIABILITY N/A
ilOCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION S
A WORKERS COMPENSATION AND 4126581 10/01/2009 1-0/01/2010
EMPLOYERW LIABILITY
ANY PROPRIE7ORIPARTNERJEXECUTIVE
N OFFICER)MEMBER EXCLVDED7 4126581 10/01/2010 10/01/2011
If y66, tlmcribo Ander
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNENICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
INTERIOR DZSiGN
INSURANCE DATEIMMroturNY)
,ITY
10/13/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLbER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OFF
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A; COLORADO CASUALTY IN$
INSURER B: PINNACOL ASSURANCE
INSURER C:
INSURER D;
INSURER E:
ICY PERIOD INDICATED. NOTWITHSTANDING ANY
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
USIONS AND CONDITIONS OF SUCH POLICIES.
IN
LIMITS
EACH OCCURRENCE 8 1,000,000
PREMISES En omiuNnc6
B 100,000
MED EXP (Any one Orson
$ 5,000
PER60NALSADVINJURY
S 1,000,000
GENF RAL AGGREGATE
$ 2,000,000
PROD UCTS-COMNOPAGO
$ 2,000,000
COMB)NED SINGLE LIMIT
(E6 eccidont)
1-1
BODILY INJURY
(Per person)
8
BODILY INJURY
(Perimident)
PROPERTY DAMAGE
(Per acuidenq
AUTO ONLY - EA ACCIDENT
9
OTHER THAN FAACC
8
AUTO ONLY: AGO
9
EACH OCCURRSNOF
6
AGGREGATE
g
$
e
Lq �I R
IMITS OC
E,L. EACH ACCIDENT
t 100,000
E.L. DISEASE - EA EMPLOYE
$ 100, 000
E.L.DISEASE- POLICY LIMIT B 500,000
( (970) 221-5707 SHOULD ANY OF HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN: ��+,MS OrNEILL YY EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 ANY
I7TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
CITY OF FORT COLLINS F2N S'V'CS PURCH DIV FAILUR - DD SO SHALL IMPOSE D TION OR LIABILITY OF ANY KIND UPON THE
215 NORTH MASON STREET 2ND FL INSU R. I S AGE S OR REPR S.
P.O. BOX 580 T RIZ P PENTATIVE
FORT COLLINS CO 80522-0580
ACORD 26 (2001108) CORD CORPORATION 1988
0.iM INS025 (0108),06 ELECTRONIC LASER FORMS, INC.-(B00)327-0545 P6V6 1 c(2
TO 39Vd 30NvanSNI SGV0aSS0a3 E661PE80L6 ZV:OT OTOZ/ET/OT
ACORDra CERTIFICATE OF LIABILITY INSURANCE DATE IMM/D5"W)
PRODUCER (970) 834-1337
10/13/2010
CROSSROADS INSURANCE AGENCY FAX: (970) 834-1393 THIS CERTIFICATE IS ISSUED A$ A MATTER OF INFORMATION
2ND
MOILYDENTHlSOCERTFICAOTERDOES NOTON THE AIWEND, EXTENDOR119
P.O. 80X 1010
1010E
ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW.
AULT CO80610-1010
INSURERS AFFORDING COVERAGE
INsuReD
NAIL #
FINISHING TOUCH
INSURER A:COLORAbO CASUA7,TY INS
3945E WCR 33
INSURER B PYNNACOL ASSURANCE
P.O. BOX 1303
INSURER C:
AULT CO 80610-1303
INSURER D:
COVERAGES
wsuRERE:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY
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.
INSR DD'L
LTR RD TYPE OF INSURANCE POLICY NUMBER POLICY EFF@CTIVE POLICY EXPIRATION
DATE MM/DDMI
A GENERAL LIABILITY CBP-8722054
DATE MMIDD LIMITS
10/12/2009 10/12/2010
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE 9 1,000,0 OO
DAMAGE TO RENTED
CLAIMS
PREM I ES Eeoocu once 3 100,000
MADE OCCUR
/ /
MED EXP An one arson $ 5 r DDO
PERSONAL & ADV INJURY $ 1, QOO r OOO
GEN'L AGGREGATE LIMgqLT. APPLIES PER;
GENERALAGGRE26TE 8 21 OOO, O00
X POLICY j(RCr LOC
PRODUCTS-COMP/OPAGG 0 2,000,000,
/ /
/ /
AUTOMOBILE LIABILITY NIA
I I I I
ANY AUTO
COMBINED SINGLE LIMIT
(Ea BCCldanl) 8
ALL OWNED AUTOS
/ /
SCHEDULED AUTOS
BODILY Y
(Per Perr*on)';n) �
HIREOAVT06
/ / / /
NON -OWNED AUTOS
BODILY INJURY
(Per accident) �
/
PROPERTYDAMAGE
fpereccadont) e
GARAGE LIABILITY
ANYAUTO N/A
AUTO ONLY -EA ACCIDENT 3
/ / /
/ OTHER THAN EAACC 0
EXCESS/UMBRELLA LIABILITY N/A
AUTO ONLY:
A4G 0
/ /
OCCUR � CLAIMS MADE
EA f H OCCURRE 3
AGGREGATE 3
DEDUCTIBLE
8
RETENTION $
A WORKERS COMPENSATION AND 4126581
EMPLOYERS' LIABILITY
C STq
09/17/2008 10/01/2009 X u
OER�
ANY PROPRIETOR/PARTNER/EXECUTIVE
RY LIMI S
N OFFICER/MEMyEREXCLUDED?
If yen, doscrtoe under g126581
E.L. EACH ACCIDENT ; 100,000
10/
/Ol/2009 10/01 2Q10
SPECIAL PROVISIONS Celow
E.L. DISEASE - EA EMPLOYEE 0 100,000
OTHER N/A
E.L. DISEASE-POLICYLIMI7 S $00,000
/ /
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXGLUSION$ ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
INTERIOR DESIGN
CERTIFICATE HOLDER
ra w-mI I . T.-
- (970) 221-6707
.ATTN., JAMES O'NEILL II
CITY OF PORT COLLINS FIN SVCS PURCH DIV
215 NORTH MASON STREET 2ND PL
P.O. SOX SBO
FORT COLLINS CO RD599—mean
CINSo2B(D1oe),os
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCQLLED BEFORE THE
EXPIRATION34 THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DA KITTEN NOTICE 0 THE CQRTIFK:ATE HOLDER NAMED TO THE LEFT, BUT
U DO SO SHALLIMP SR LIABILITY OF ANY KIND UPON THE
�NS ITS AOFMTB OR RE IVFa
ELECTRONIC LASER FORMS, INC..
0 ACORD CORPORATION 1988
Pape 1 of 2
TO 39Vd 30NvanSNI SQV06SSOdO £6£Tb£8OL6 L£:OT OTOZ/£T/OT