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HomeMy WebLinkAbout114078 FRONT RANGE FIRE PROTECTION INC - INSURANCE CERTIFICATE (3)OP ID: RK '4t4c"M15' CERTIFICATE OF LIABILITY INSURANCE onr06/01111vvvl F 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 terns 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 724-832-9658 S&T Evergreen Insurance, LLC 724-832-9661 701 East Pittsburgh St Greensburg, PA 15601 Kathy Koons CONTACT NAME' PHONE FAX _(A(c Nu Eat: WC, No: E MAIL ESS: PRODUCER FRONT-2 CUSTOMER ID i INSURERS) AFFORDING COVERAGE NAIC N INSURED Front Range Fire Protection INSURERA: Everest Indemnity Insurance Cc 10851 Inc INSURER B: Everest National Ins CO 4007 S Lincoln Ave, Ste 460 Loveland, CO 80537 INSURER C INSURER 0: 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 A D D L UBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERALLIABILITY 51GLOO1672111 06/01/11 06/01112 DAMA T R PREMISES Ea occurrence $ $0,00 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $ 6,00 PERSONAL &ADV INJURY It 1,000,00 X Errors & Ommissio GENERALAGGREGATE $ 2,000,00 COV IS INCLUDED IN THE GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG $ 2,000,00 POLICY X PRO n LOC $ B AUTOMOBILE LIABILITY ANY AUTO 51 CA000095111 06/01111 06101112 COMBINED SINGLE LIMIT (Ea amment) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 X AGGREGATE $ 5,000,0D A EXCESS LIAB CLA-M IMSADE 51 CC0005350111 06I01111 06I01112 - DEDUCTIBLE'- - - - ----- - - - $ HX S RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMSER EXCLUDED? NIA WC STATU- OTH- T RY IMLS J I ER EL EACH ACCIDENT $ (Myyandatory in NH) E.L. DISEASE - EA EMPLOYEE $ (DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ EXCESS LIABCOVERSOVER GLAUTO LIAB DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Job: City of Fort C011ins Facilities Division 62$ 9th Street Fort Collins, CO 80524 Job# 06084 CITY-19 City of Fort Collins PMPD Division 700 Wood Street Fort Collins, CO 80521 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 © 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD