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HomeMy WebLinkAboutVENDING SERVICES OF COLORADO INC - INSURANCE CERTIFICATEj,�� CERTIFICATE OF LIABILITY INSURANCE OP ID KA DATE(MMIDD/Yr THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 4 /1 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. "-y%re=I "w= De enaorsea. If SUBROGATION , s ect to the terms and conditions of the policy, certain polities may require an endorsemm ent A statement on this certificate does not confer rights to the certificate holder in 6eu of such endorsement(s). Brown. & Brown Inc 125 8 Howes, 5th Floor P O Box 2226 Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURED Vending Services of Colorado Inc 544� Boeincr Dr Loveland CO 80538 CUSTOMER ID t: VEND I -1 INSURERS) A�sSuranCeORDING COVERAGE NAIC t INWRERA: Pinnacol Com an 41190 INSURERS: cpoeito:. na Company 42587 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 CONDMONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE INSR-- GENERAL uABIUN --- B COMMERCIAL GENERAL LIABILITY ACPBPWD7504279024 CLAIMS -MADE OCCUR X Business Owners GEML AGGREGATE LIMIT APPLIES PER: - POLICY PRO- JECT LOC AUTOMOBILE LIABILITY B X ANY AUTO CPBAM7504279024 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS UMBRELLALWB HCLA—,., OCCUR EXCESS LIAR DEDUCTIBLE 9/09 112/19/10 12/19/09 112/19/10 A H ERS COMPF_N8ATION AND EMPLOYERS LIABILITY YIN 04021 10/01/10 10/01/11 ANY PROPRIETORIPARTNER/EXEC OFFICER/MEMBEREXCLUDED? IA (Myyaeenssdatory In NH) be und DESG�RIPTITION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, A Monal Remarks Schedule, H more Vending service - Food 6 Soft Drinks space Is required) CERTIFICATE HOLDER CANCELLATION LIMITS EACH OCCURRENCE $ 1 Q O Q Q Q 0 PREMISI S ( Ea occurrence $ 300000 MED EXP (My one person) $ 5000 PERSONAL 3 ADV INJURY $ GENERAL AGGREGATE $ 2000000 PRODUCTS -COMP/OPAGG $ COMBINED SINGLE LIMIT (Ea accident) $1, 000, 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ EACH OCCURRENCE $ AGGREGATE $ EL EACH ACCIDENT $ 100000 EL DISEASE-EAEMPLO $ jQQQQQ EEL LIMIT $ 500000 PROPERTY 103000 C I TYF10 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, City of Fort Collins Purchasing Department AUTHORIgOREPRESENTATIVE 215 N. Mason St. Fort Collins CO 80521 J, ACORD 25 (2009(09) The ACORD name and logo are regl ed marks of oRe RATION. All rights reserved.