HomeMy WebLinkAbout103910 ARAGON IRON & METAL CORP - INSURANCE CERTIFICATErRe..rrr• ��o�s
ARAIR
ACORD.CERTIFICATE OF LIABILITY INSURANCE
DATE1'YY)
02/22/201v2011
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
Flood & Peterson Ins., Inc.
P. O. Box 578
CO TACT
NAME: Jennifer Winter
FAX
AHONEIC, No Ext , 970 266-7127 A/C, No), 970 506-6846
AIL
ADDRESS: Jennifer.Winter@fpinsurance.com
Greeley, CO 80632
1I
970 356-0123 I p O
1111
PRODUCER
CUSTOMER ID #:
INSURERS) AFFORDING COVERAGE
NAIC #
INSURED
Aragon Iron & Metal Corp
516 Highway 287, North
Fort Collins, CO 80524
INSURER A: Granite State Insurance
INSURER B National Union Fire Insurance
INSURER CPinnacol Assurance
INSURER D
INSURER E :
INSURER F :
rn1/COAGCc rFRTIRrATF NI IMRFR- 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.
INSR
LUL
TYPE OF INSURANCEnaL
ADDL
UBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYV
LIMBS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FXI OCCUR
02LX0062627253
10/01/201010/01/2011
EACH OCCURRENCE
$1000000
DAMAGE RENTED
PREM SESOEa occurrence)
S300OOO
MED EXP (Any one person)
$10,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
52,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- n LOC
PRODUCTS - COMP/OP AGG
52,000,000
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Drive Other Car
02CA0062696973
10/01/2010
10/01 /2011
COMBINED SINGLE UMIT
(Ea accident)
S
1 DDD 000
X
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
5
PROPERTY DAMAGE
(Per accident)
$
X
X
S
X
S
B
UMBRELLA LAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
OlUD0004075363
10/01/2010
10/01/2011
EACH OCCURRENCE
52DOD000
AGGREGATE
s2,000,000
DEDUCTIBLE
RETENTION S 10000
S
X
S
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE 1
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
3081185
3/01/201,
03/01/201
X WCSTATU- OTH-
TORYLI IT ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEEI
$1,000,000
E.L. DISEASE - POLICY LIMIT
1 $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required)
Certificate Holder is listed as an Additional Insured.
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
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
6'Ieodt , ZUJ41.
ACORD 25 (2009/09) 1 of 1
#S593498/M593495
01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
JZS
ARAIR
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
°oy22/2011
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
Flood & Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
CONT CT
NAME: Jennifer Winter
PHONE 970 266-7127 AC, Ne ; 970 506-6846
A/C No Ext
ADDRESS: Jennifer.Winter@fpinsurance.com
PRODUCER
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
Aragon Iron & Metal Corp
516 Highway 287, North
Fort Collins, CO 80524
INSURER A: Granite State Insurance
INSURER BNational Union Fire Insurance
INSURER CPinnacol Assurance
INSURER D:
INSURER E:
INSURER F:
rMMDAr-Cc rFRTIFIr ATF NIIMFi 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.
INSH
TYPE OF INSURANCE
NDDCY
VD
I POLICY NUMBER
EFF
MIDDNYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE �, OCCUR
.UL
02LX0062627253
10/01/201010/01/2011
EACH OCCURRENCE
$1000000
DAMAGE TO RENTED
PREMISES Ea occurrence)
$300OOO
MED EXP (Any one person)
$10,000
PERSONAL& ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 7 PRO- LOC
PRODUCTS - COMP/OP AGG
52,000,000
$
A
-
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Drive Other Car
I
02CA0062696973
I
10/01/2010
10/01/2011
COMBINED SINGLE LIMIT
(Ea accident)
S
1.000.000
X
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
X
S
B
X
UMBRELLA LIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
01 UD0004075363
10/01/2010
10/01/2011
EACH OCCURRENCE
$2 OOO OO0-
AGGREGATE
s2,000,000
DEDUCTIBLE
RETENTION S 10000
S
X
S
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE"
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
3081185
3/01/2011
03/01/201
X WCSTATIT OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
51,000,000
E.L. DISEASE - POLICY LIMIT
S1,000 OOO
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required)
City of Fort Collins
PO Box 580
Fort Collins, CO 80522-0580
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
`/oact v 9.Irr�so� , zoc.
ACORD 25 (2009/09) 1 Of 1
#S593497/M593495
01988-2009 ACORD CORPORATION. All rights resenred.
The ACORD name and logo are registered marks of ACORD
JZS