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Home My WebLink About133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (15)Jul .13. 2011 4:31PM No, 4804 P. 1/1 ''� " CERTIFICATE OF LIABILITY INSURANCE D/13/2011 7/13/2011 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: N 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 Colorado BW Insurance Agency, Inc. 1075 W Borsetooth. Ad, Ste 106 CONTACT Amanda Grunow NAME- PRONE (970)223_0924 FAX (970)261-2231 ERESS: amanda. gruaowRhankoftheweat. corn rR DUCER p0045450 Port Collins CO 80526 INSURER 3 AFFORDING COVERAGE NAICA INSURED INSURER A:BVereat Indemnity Ins Co r IN$URERB:Pinaacol ASSuance 41190 AnlanCe Protection Ltd PO Sox 2901 INSURER C INSURER D NSURER E; Ft Collins CO 80522 INSURER F: w•ERAGFS CER iFiCAlc NumtstR•2ui-L-zu82 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. ILTR TYPE OFINSURANCE POUOYNUMBER MWDCfYYEFr MWGO V)r UMRS GENERAL UABIUTY EACH OCCURRENCE S 11000,000 A X COMMERCIAL GENERAL LABILITY CLAIMS -WE OCCUR S1GL000975-iDl 7/13/2011 /1]/2D12 P MIS S Ha NILenee S 50, 000 MED ExPln ax>eroa, 3 51000 PERSONAL &ACV INJURY S 11000,000 GENERALAGGREGATE 3 21000,000 GENL AGGREGATE LIMIT APPLIES PER: PRO- nLOC X POLICY F7 PRODUCTS - COMPIOP AGO $ 11000,000 3 AUTOMOBILE LWBIDTY ANYAUTO COMBINED SINGLE LIMIT (Ea wedio) S BODILY INJURY(Pw Pen9dn) S ALL OWNED AUTOS BODILY INJURY (Pw amcwen0 S SCHEDULED AUTOS PROPERTY pAMgGE {Per aeeeenU S HIRED AUTOS S NON-OWNEDAUTOS S UMBRELLA DAB OCCUR EAOHOCCURRENCE f EXCESS W8 CLAIMS -MADE AGGREGATE S DEDUCTIBLE S RETENTION 3 3 B PCOMPENSATION AND E EMPLOYRS'LUBIUTY XYIN ANY PROPRIEORIPARTNER OFFICERAIEMBER E%CLUOED9 ❑ (uadabwy in If yea. aawN 0raer NIA L064145 4/l/2011 1/1/2012 WC $TATU- IOH EL EACH ACCIDENT S 11000,000 EL DISEASE - EA EMPLOYE S 1,000,000 E.L. DISEASE -POLICY LIMIT f l 000 000 DESCRIPTION OF OPERATIONS below DESOMPTIONOFOPERATIONSI LOCAnON3l VEMICLES(AIBSn ACORD101,Addiu.nal R.—a S.MedVle,BNIVree cale ead) The Certi EiC6te bolder is named as an Additional Insured with respect to the ongoing operations of the Named Insured on the General Liability only. 6707 City of Fort Collins Finance & Purchasing Department Attn: Christine Jarvis 215 N. Maoon St., Second Floor PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTRORMFD REPRESENTATME Dennis Shafer/EVEAo ACORD 25 (2009109) C 1938.2009 ACORD CORPORATION. All rights reserved.