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HomeMy WebLinkAbout130163 EMPIRE CARPENTRY LLC - INSURANCE CERTIFICATE (4)ACCER CERTIFICATE OF LIABILITY INSURANCE DATE,MM312011 YY) on,a,2o„ PRODUCER CER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED EMPIRE CARPENTRY LLC INSURER@ PINNACOL ASSURANCE 41190 INSURER B: 521.5 SYCAMORE ST INSURER FORT COLLINS, CO 80521 INSURER D. INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 I ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICYNUMBER DATE(MM11 IVY) DATENANV IYYI'Y) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES MED EXPRoyone Person) PERSONAL& ADV INJURY GEN'L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS-COMPIOPAGG POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea AcccenN BODILY I WURY ALL OWNED AUTOS SCHEDULEDAUTOS (Per Moron) BODILY INJURY HIRED AUTOS NON-OWNEDAUTOS (Per accilenB PROPERTTDAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY: AG E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE pGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND WC STATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE 1519590 09/01/2010 09/01/2011 TORY LIMITS EL EACHACCIDENT $100,000 OFFICERIMEMBER EXCLUDED? EL DISEASECAEMPLOYEE $100,000 It yes, pleasedescnbaunder SPECIAL PROVISIONS below EL DISEASE -POLICY LIMIT 500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1323717 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins- Purchasing THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 281 North College MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins CO 80521 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Charles Doggett ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988