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