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Home My WebLink AboutAD LIGHT & SIGN DBA APEX SIGN COMPANY - INSURANCE CERTIFICATE (2)OP ID: EH A�ROr CERTIFICATE OF LIABILITY INSURANCE DATE 1 05124/11 YYI 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 endorsements . PRODUCER 303-799.0110 Cherry Creek Ins. Agency, Inc. 303-799-0156 Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village, CO 80111 Martha Richardson CONTACT PHONE FAX aC No Est :INC, No), E-MAIL ADDRESS: PRODUCER ADLIG-1 CUSTOMER IDk: INSURERS AFFORDING COVERAGE NAIC Is INSURED Ad Light &Sign INSURER A:Westfleld Insurance 24112 Apex Sign Company LLC dba INSURER B: 4150 Elati Street Denver, CO 80216 INSURER C: INSURER D INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE I %R SUB POLICY NUMBER EFF MMIDDPOLICYIYYYY EXP MMIDDY/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X TRA5239525 05/20/11 05/20/12 DAMA T -RENTED PREMISES PREMISES Ea occurrence) $ 300,00 MED EXP(Anyone person) $ 15,00 CLAIMS -MADE FxI OCCUR PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY X PRO. LOC A AUTOMOBILE LIABILITY ANY AUTO TRA5239525 05/20/11 05/20/12 COMBINED SINGLE LIMIT accident)Ed $ 1,000,00 X BODILY (Per person) BODILY INJURY $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIRED AUTOS $ NON -OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 S 1,000,00 A EXCESS LIAB CLAIMSMADEAGGREGATE TRA5239525 05/20111 05120112 DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLUDED?ANY PROPRIETORrPARTNER]EXECUTIVE❑ N/A WCY IMIT OTRH- EL EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) As required by written contractor written agreement, the City of Fort Collinst its officers, agents and employees are included as Additional In SUreO for ongoing operations under General Liability and Additional Insured under Automobile Liability. City of Fort Collins Attn: James B O'Neill II Dir of Purchasing 8: Risk Mgmt 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 U 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD