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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