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HomeMy WebLinkAbout273227 YENTER COMPANIES INC - INSURANCE CERTIFICATE1/7/2011 7:44:48 AM PST (GMT-8) FROM: insurancevisions.com-TO: 19702216707 Page: 1 of 3 From: Texas AGA, Inc. 5950 Sherry Lane, Suite 500 Dallas, TX 75225 800-875-9484 Ext. 308 972-980-9481 www.aga-us.com To: City of Fort Collins Director of Purchasing & Risk Management John Stephen/Jan P.O. Box 580 Ft. Collins CO 80522 FAX DOCUMENT Certificate of Insurance Delivery by ecertsonline TM From: (AGA DAL) Jana Burchfield Subject: Date: 1/7/2011 Delivery Via: FAX .19702216707 No. of Pages: 3 THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT b PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDERAPPLICABLE LAW. IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HEREBYNOTIFIEDTHAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMEDWTELY BYTELEPHONE, AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. © 2002 Certificate of Insurance Delivered by ecertsonline Im Insurance Visions, Inc. All rights reserved. 1/7/2011 7:44:48 AM PST (GMT-8) FROM: insurancevisions.com-TO: 19702216707 Page: 2 of 3 �` a® CERTIFICATE OF LIABILITY INSURANCE DATE 1/7/2011Y) 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 endorsements . PRODUCER Texas AGA, Inc. CONTACT NAME: AGA DAL Jana Burchfield PHONE JAJC. No,t , 800-875-9484 Ext. 308 FAX A/c No): 972-980-9481 5950 Sherry Lane, Suite 500 Dallas, TX 75225 E-MAIL ADDRESS: burchfield(-@a-qa-us.com INSURER(S) AFFORDING COVERAGE NAIC p wsURERA: Lancer Insurance Company 20677 www-aga-us.com INSURED Yenter Companies, Inc. 20300 W. Hwy 72 Arvada, CO 80007 INSURERB : INSURERC: INSURER D INSURER E : INSURER F nnVF0AP_F4 r_PRTIFIfTATF Ml IMRFR• 09r.R00r1 RFVI1CIr] J NI IMRFR- 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 TYPE OF INSURANCE ADDL I S SUER POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS a GENERALLIABILITY GL8030768 12/31/2010 12/31/2011 EACH OCCURRENCE $ 1,000,000 ✓ COMMERCIAL GENERAL LIABILITY DAMAGE ES (Ea occurrence) $ 100,000 CLAIMS -MADE F2/1 OCGUR MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 ✓ Blaster's Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG $ 2,000,000 $ POLICY rV1.PRO LOC X AUTOMOBILE LIABILITY BA8030758 12/31/2010 12/31/2011 � (Ea aBada t) INGLE LIMIr $ 1,000,000 BODILY INJURY (Per person) $ ✓ ANY AUTO ALL OWNED R SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ NON -OWNED HIREDAUTOSAUTOS $ A UMBRELLA LIAB ✓ OCCUR XS8030778 12/31/2010 12/31/2011 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE XS8063184 DED RETENTION $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC STATU- (- TORY LIM TS E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins, its officers, agents and employees are included as additional insureds as required by written contract for insured's work. The insurance evidenced by this Certificate will not be cancelled or materially altered, except afterten (10) days written notice has been received by the City of Fort Collins. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Director of Purchasing & Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. John Stephen/Jan P.O. Box 580 AUTHORIZED REPRESENTATIVE Ft. Collins CO 80522 AGA DAL Ralph Hamm © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 9258990 CLIENT C00E: 30YELITECOM (AGA OAL) Jana BurchfieLd 1/7/2011 7:43:42 AM Page 1 of 2 1/7/2011 7:44:48 AM PST (GMT-8) FROM: insurancevisions.com-TO: 19702216707 Page: 3 of 3 ecerlsonlina^ CERTIFICATE ATTACHMENT CERT NO.: 9258990 CLIENT CODE: 30YENTECO14 (AGA DAL) Jana Burchfield 1/7/2011 7:43:42 AH Page 2 of 2