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HomeMy WebLinkAboutKRAUS AND COMPANY JETTING INC - INSURANCE CERTIFICATEACoRo® CERTIFICATE OF LIABILITY INSURANCE i/13/2o 1 Y' 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 CONTACT P NAME: Stephanie Huber PHON o (303) 730-2327 F' No: (303)730-2930 Security First Insurance Agency 7851 S. Elati Street ADDRESS:shuber@securityfirstia.com Suite 100 PRODUCERUST 00000555 INSURERS AFFORDING COVERAGE NAIC# Littleton CO 80120 INSURED INSURERA:Auto Owners Insurance CO 18988 INSURERB:Owners 320064 32700 INSURER C Kraus & Company Jetting, Inc. 11125 W. 58th Ave INSURERD: INSURER E : Arvada CO-80002. wsuRERF: COVERAGES- CERTIFItCATE NUMBER:CL/111301791 REViS10W NUiVii3ER: 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. IPOLICY LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER EFF MM/DD/YYYY POLICY EXP MMlDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX_1 OCCUR 74007678 10/16/2010 10/16/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE OREN D PREMISES Ea occurrence $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PROJECT LOC PRODUCTS -COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO. ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4657866400 11/7/2010 11/7/2011 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 BODILYINJURY(Perperson) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X Hired/borrowed $ rl Non -owned $ UMBRELLA LIAB !OCCUR EXCESS LIAB CLAIMS -MADE I EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A - 74001606 1/1/2011 1/1/2012 X WC STRYTATU- OTH- I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins PO Box 580 Ft. Collins, CO 80522 GANGELLATIVN 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 REPRESENTATIVE Stephanie Huber/STEPH q v �— ACORD 25 (2009/09) 01988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD