HomeMy WebLinkAboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATE (2)ACC311IRsn/2o11 o' CERTIFICATE OF LIABILITY INSURANCE
DaTE(Mm/DDmvv)
4/28/2011
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 endomement)s).
PRODUCER Lockton Companies, LLC Denver _
8110 E Union Avenue
Suite 700
Denver CO 80237
(303)414-6000
CONTACT
INC,No Est): NC Not:
E-MAIL
COVERAGE
NAIC e
INSURER A: National Fire Insurance Co of Hartford
20478
INSURED The Bauen Corporation
1034102 801 E. 52nd Ave.
Denver, CO 80216
INSURER B: Valle For elnsurance Commanv
20508
INSURER C : Continental Casualty Company
20443
- Pinnacol Assurance Comnany
41190
INSURER F
INSURER F
r 1111 rrn n uevc. 10010/17
rJfli!1T3�����"•:��
V H ./ POLICIES
V THIS IS O CERTIFYBELOW
THIS IS TO CERTIFY THAT THE POLICIES OF'INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INSURANCE
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
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLMMIICY EFT
5/1/2011
POLICY E%P
5/1/2012
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F_X] OCCUR
N
N
4021109791
EACH OCCURRENCE
1,000.000
DAMAGE TO RENTED
100,000
MED EXP (Any oneperson)
5,000
PERSONAL a ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
s 2.000.000
GEN'L AGGREGATE LIMIT APPLIES Por,ER:
X PRO-
IFCT
PRODUCTS - COMP/OP AGG
s 2,000,000
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS
X HIRED AUTOS X NOON -OWNED
AUTOS
N
N
4021110598
5/1/2010
5/1/2011
COMBINED SINGLE LIMIT
$ 1-000000
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
S XXXXXXX
PROPERTY DAMAGE
s XXXXXXX
$ XXXXXXX
C
X
UMBRELLA LIAR
EXCESS LIAB
I X
OCCUR
CLAIMS -MADE
N
N
4021109807
5/1/2011
5/1/2012
EACH OCCURRENCE
s 5000000
AGGREGATE
s 5,000,000
DEDT1 RETENTION $
s XXXXXXX
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNEPo Ci.FPVE ONIA
OFFICER/MEMSER EXCLUDED? N
(WndMory in NH)
if yes, descrW union
DESCRIPTION OF OPERATIONS CeNw'
N
2127630
10/1/2010
10/1/2011
ATU- OTH
X WCSTLIM
E.LEACHACCIDEm
$ 1000000
ELDISEASE-EAEMPLOYEE
& 1.000000
-P ICY I IMIT
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
.199.1907 AUTHORIZED REPRESENTATIVE
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522
.....or, �c 1�nrn.r n1oRR 7n1n ACORD CORPO ATION. All Hants reserved
The ACORD name and logo are registered marks of ACORD