HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (12)COLORADO-BW INSURANCE Fax 19702672231 Dec 14 2010 09:25am P001/001
r ! ® DATE (MM/ODIYYYY)
A�C' CERTIFICATE OF LIABILITY INSURANCE 12/13/2010
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 poiicy(ies) must be endorsed. If SUBROGATION IS WAVED, 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
Colorado BW Insurance Agency, Inc.
1075 W Horsetooth Rd, Ste 106
CO 80526
INSURED
Anlance Protection Ltd
PO Box 2401
GUNIAGI Leslie Shade
NAME:
PHONE EMI. �970} 223-4924 Arc N (970)267-a231
E-MAIL leslie-shadeLabankofthewest-com
ADDRESS:
PRO ,i 00045450
C TnM10-0
INSURE R(S) AFFORDING COVERAPE ___!LAIC >}
INSURER A:)3Vereat imde nil II1S CO
INSuRERB:Pinnacol Assurance 41190
INSURERC:Zurich American Insurance
INSURER D :
INSURER E :
Ft Collins Co 80522 1 INSURER:
COVERAGES CERTIFICATE NUMBER=CL7.0121314081
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE
INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMf
�DbL P L Y EFF POLL LAP
NSR TYPE OF INSURANCE IN POLICY NUMRER MM)00 MMJDDrYYYY
GENERAL LIABILITY .
X COMMERCIAL GENERAL LIAMLITv
r 7/13f701D 7/13/2011
A CLAIMS -MADE OCCUR 51GL000975-101
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY/ I
PR0- LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OVYNED AUTOS
SCHEDULEO AUTOS
HIRED AUTOS
NON -OWNED AUTOS
UMBReLLA LIAR OCCUR
EXCESS LIA9 CLAIMS
DEDUCT18LE
WORKERS COMPF-NSATION Y 1 N
AND EMPLOYERS' LIABILITY k
ANY PROPRIETORfPARTNER;EXECUTIVE ❑ N r A % 7./2011 1/.1/2012
OFFICERIIdEMBER EXCLUDED? 4064145 1
(Mandatory in NH)
If ns. tloscribe U+691
DESCRIPTION OF OPERATIONS below
C I
DESCR)PTION OF OPERATIONS 1 LOCATIONS) VEHICLES (AR00 ACORD 101. Additional Remerke Schedule, If more apace Is required)
The certificate holder is R1.anred as an Additional lnsured with respect to the oa4oir
on the General Liability Only-
HOLDER
21-6707
City of Fort Collins
Finance & Purchasing Department
Attn: Christine Jarvis
215 N. Mason St., Second Floor
PO Box 580
Fort Collins, CO 80522-0580
wim n0IAM MI 1URr-0-
D NAMED ABOVE FOR THE POLICY PERIOD
)OCUMENT WITH RESPECT TO WHICH THIS
HEREIN IS SUBJECT TO ALL THE TERMS,
LIMITS
EACHOCCURRENCE $ 1,000,000
rU TE
MI £S P' CCCU
50, 400
EXP (Any ono person)
FPFRSONAL
$ 5 , 0 0 0
RAOV INJURY
$ 1, 000, 000
GENERAL AGGREGATE
S 2,000,000
PRODUCTS -COAIP)OP AGG
S i, 000, 000
S
COMBINED SINGLE LIMIT $
(Ea accldant)
BODILY INJURY (Par PemSon)
S
BODILY INJURY (Per 8C4i0111
$
PROPERTY DAMAGE
S
(Per 90CMr*
5
EACH OCCURRENCE
$
AGGREGATE
5
S
$
wQ STATV- OTH-
x IMI
E.L EACH ACCIDENT
5 1 -000 000
E.L. OISEASE . EA EMPLOYF5 S 1, 000 000
E.L.DiSEASE- POLICY LIMIT I S 1 000 000
g operations of the 17amed Insurcd
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTAPV£
Leslie Shade/FTCLS
ACORD 25 (2009109) (9 1988-2009 ACORD CORPORATION. All rights reserved.
lkl.zn-)r",,,< b, The ACORD name and logo are registered marks of ACORD