Loading...
HomeMy WebLinkAboutCOLORADO SASH & DOOR INC - INSURANCE CERTIFICATE_1 bb CERTIFICATE OF LIABILITY INSURANCE OP ID DA DATE(MMIDDm 12/13/10 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 Brown & Brown Inc 125 S Howes , 5th _Floor P 0 ,BOX 2226 Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 -CUM AU I NAME: PHONE FAX Alc, No, EXt : (A/C, No): ADDRESS: CUSTOMER CUSTOMER ID #: COSAS' 1 INSURER(S) AFFORDING COVERAGE NAIC# INSURED Colorado Sash & Door, Inc; P. O. Box 270682 Fort Collins CO 80527 INSURER A: AMCO Insurance Company 19100 INSURER B: Depositors Insurance Company 42587 INSURERC: Pinnacol Assurance Company 41190 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. LTR TYPE OF INSURANCE INSR WVDI POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Business Owners X ACP7514152079 12/08/10 12/08/11 EACH OCCURRENCE $ 1000000 -DAMAGEREWED PREMISES (Ea $ 300000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO. LOC JECT PRODUCTS - COMP/OPAGG $ 2000000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS - SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ACP7514152079 12/08/10 12/08/11 COMBINED SINGLE LIMIT (Ea accident) $ lOOOOOO X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ACP7514152079 12/08/10 12/08/11 EACH OCCURRENCE $ 1000000 AGGREGATE $ 1000000 DEDUCTIBLE RETENTION $ 0 $ X $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVq----I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 114024240 I06/01/i0 06/01/il X WCSTATU- - OTH-' TORY LIMITS ER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE - POLICY LIMIT $ 500000 I PROPERTY 10300 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 Additional Remarks Schedule, if more space is required) Cit of Fort Collins is included as additional insured on the general liaiility. �I CERTIFICATE HOLDER i CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE UTILFTC I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I City of Fort Collins AUTHORIZED REPRESENTATIVE Utility Department 700 Wood St, Fort Collins CO 80524 Y �. ©1988-2009 ACORD CORPORATIOA. All rights reserved. ACORD 25 (2009/09) ! The ACORD name and logo are registered marks of ACORD