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HomeMy WebLinkAboutCOLORADO SASH & DOOR INC - INSURANCE CERTIFICATE (2)A OW CERTIFICATE OF LIABILITY INSURANCE OP ID LD DATE(MMIDDNYYY) 05/20/11 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: e certificate holder Is an ADDITIONAL INSURED, the poll ies must be endorsed. , 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 - Brown S Brown Inc NAME: , IENC No,Ert): (Alt, No): 125 S Howes, 5th Floor P 0 Box 2226 ADDRESS: Fort Collins CO 80522-2226 CUSTOMER CUSTOMER ID R: CDSAS-1 Phone:970-482-7747 Fax:970-484-4165 INSURERS) AFFORDING COVERAGE NAICIf INSURED INSURERA: AMCO Insurance Company 19100 Colorado Sash S Door, Inc P. 0. Box 270682 INSURERS: Depositors in-c. company 42587 INSURERC: Pinnacol Assurance Company_ 41190 Fort Collins CO 80527 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. LTR TYPE OF INSURANCE INSRI Me POLICY NUMBER FT (MMND� I POLICY DIP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A COMMERCIAL GENERAL LIABILITY ACP7514152079 12/08/10 12/08/11 REM ED PREMISSES(Eacaunenca $ 300000 CI -AIMS -MADE ❑X OCCUR MED EXP(Any one person) $ 5000 PERSONAL B,IDV INJURY $ 1000000 X Business Owners X GENERAL AGGREGATE $ 2000000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $2000000 POLICY n JER° F7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1000000 B X ANYAUro ACP7514152079 12/08/10 12/08/11 BODILY IWURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) S NOWOWNED AUTOS S S A X UMBRELLA LNB }( OCCUR ACP7514152079 12/08/10 12/08/11 EACH OCCURRENCE $ 1000000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 1000000 hDEDUCTIBLE S _ $ X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OMy FFICERPRIETOREXCLUDRrEED? EC<nNE (Mandatary In NH) N/A 4024240 06/01/11 06/01/12 X�Lj�MITSTU- TH E.L EACH ACCIDENT $ 500000 E.LOISEASE.EAEMPLOYE $500000 U yes, de n:nhe under DESCRIPTION OF OPERATIONS belowE.L DISEASE - POLICY LIMIT I $500000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101 AdditionaI Remarks Schedule, If more space Is required) City of Fort Collins is included as additional insured on the general liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLI UTILFTC I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Utility Department 700 Wood St. ACORD 25 (2009109) The ACORD name and logo are regislered marks of ACORD