HomeMy WebLinkAbout103910 ARAGON IRON & METAL CORP - INSURANCE CERTIFICATE (4)Client#: 12935
ARAIR
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDNYYY)
09/26/2011
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: 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 endorsement(s).
PRODUCER
Flood & Peterson Ins., Inc.
P. O. Box 578
CONTACT Jennifer Winter
NAME:
PHONE FAX
A/C No Ext : 970 266-7127 AM No):970 506-6846
AooREss: Jennifer.Winter@fpinsurance.com
Greeley, CO 80632
970 356-0123
PRODUCER
CUSTOMER ID k:
INSURER(S) AFFORDING COVERAGE
NAICa
INSURED
Aragon Iron & Metal Corp
516 Highway 287, North
Fort Collins, CO 80524
INSURER A: Granite State Insurance
INSURER BNational Union Fire Insurance
INSURER CPinnacol Assurance
INSURER O:
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
INDICATED, NOTWITHSTANDING ANY REGUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
MM/DD/YYYY
MWDD/YYYY
LIMIT
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F OCCUR
02LX0062627254
10/01/2011
10/01/201
EACH OCCURRENCE
is2,OOO,000
PREMISES Ea occur RENTEante
MED EXP (Any one person)
PERSONAL&ADV INJURY
GENERAL AGGREGATE
GEN'L AGGREGATE
X POLICY
LIMIT APPLIES PER:
PIFCTRO LOC
PRODUCTS - COMP/OP AGG
$2,000,000
$
A
AUTOMOBILELIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
Drive Other Car
I
02CA0062696974
10/01/2011
10/01/2012
COMBINED SINGLE LIMIT
(Ea aceidenl)
$1000000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
X
$
$
B
1(
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
OIUD0004075364
10/01/2011
..
10/01/2012
EACH OCCURRENCE
s2000000
AGGREGATE
s2,000,000
DEDUCTIBLE
RETENTION 10000
$
X
$
Q
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVEY/N
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
Use, describe under
DESCRIPTION OF OPERATIONS be
NIA
3081185
3/01/2011
03/01/201
X WC STATU- OTH-
E.L EACH ACCIDENT
51,000000
E.L. DISEASE - EA EMPLOYEE
S1,000,000
E. L. DISEASE - POLICY LIMIT 1
$1000000
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more apace Is required)
Certificate Holder is listed as an Additional Insured.
City of Fort Collins
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
F/000c T I zfie.
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 Of 1
#S648553/M648550
The ACORD name and logo are registered marks of ACORD
JZS
Client#: 12935
ARAIR
ACOR0. CERTIFICATE OF LIABILITY INSURANCE
GATE(Mm09/6/2026/20/Y1
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: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsement(s).
PRODUCER
Flood &Peterson ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
CONTACT NAME: ,Jennifer Winter
PNONE g70 266-7127 FAX
ac No EXt : A/C, No : 970 506-6846
AODREss: Uennifer.Winter(gfpinsurance.com
CUSTOMER 10 #:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
Aragon Iron & Metal Corp
516 Highway 287, North
Fort Collins, CO 80524
INSURER A: Granite State Insurance
INSURER B: National Union Fire Insurance
INSURER CPinnacol Assurance
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 CONTRACTOR 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 Iii
TYPE OF INSURANCE
AWL
OJL
POLICY NUMBER
MWDDffYYY
MM/DD/YYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51OCCUR
02LX0062627254
10/01/2011
10/01/2012
EACH OCCURRENCE
S11000000
PREMISES Ea occurrence
11300,000
VIED EXP(Any one person)
$10,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN-L AGGREGATE UMIT APPLIES PER:
X POUCY PRo- LOC
PRODUCTS - COMP/OP AGG
$2,000,000
S
A
AUTOMOBILE
LIABILITY
ANY AILHO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NONOWNEDAUTOS
Drive Other Car
02CA0062696974
10/01/2011
10/01/2012
CO BINEDtSINGLE UMIT
$(Ea1.000.000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
(Per accident)
$
X
X
$
X
$
B
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
OIUD0004075364
10/01/2011
10/01/201
EACH OCCURRENCE
$2 OOO OOO
AGGREGATE
$2 ODO OOO
X
DEDUCTIBLE
RETENTION 10000
$
Is
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YfN ANY PROPRIETOWPARTNER/EXECUTIVE
OFFICEWMEMBER EXCLUDED?
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
3081185
3/01/2011
03/01/2012
X WC STATU- OTH-
EL EACH ACMDENT
$1:000000
E. L. DISEASE -EA EMPLOYEE
$1,DDD,000
E. L. DISEASE -POLICY LIMIT I
S1,000000
DESCRIPDON OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required)
City of Fort Collins
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.
Flooat r oa.ate�So.�l ,crivt✓r'a.Llcn ,yat.
Of 988-2009 ACORD CORPORATION. All rights reserved,
ACORD 25 (2009/09) 1 of 1
#S648552/M648550
The ACORD name and logo are registered marks of ACORD
JIZS-