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HomeMy WebLinkAbout265716 WINDOW KING - INSURANCE CERTIFICATE (6)/ 1 ® ,4coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD 11/11/2011 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(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 WEEDIN AGENCY INC PO Box 55 Loveland, CO 80539 CONTACT NAME' a°No (970)667-2145 A/C140070)669-9295 ADD RIEss annette@weedinagency.com INSURER(S) AFFORDING COVERAGE NAIC/ INSURER A: OWNERS INSURANCE CO INSURED WINDOW KING #111, INC JAMES GOEBEL 1383 WARBLER ST LOVELAND, CO 80537 970-391-2223 INSURER B: INSURER C: INSURER D: INSURER E: 1 INSURER F COVFRAGFS CERTIFICATE NUMBER' REVISION NUMBER: THIS 15 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. I�TR TYPE OF INSURANCE ADDL INSR SUER SUB POLICY NUMBER POLICY MMILICY E Y POLICY EXP M OLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 200 5 0 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EI OCCUR MED EXP(Any one person) $ 5 000 A Y 74932794 8/27/118/27/12 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE. $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 X POLICY PRO- LOC �$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidnte $ 1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) $ $ A X ANVAUTO ALL OWNED SCHEDULED AUTOS AUTOS Y 4848313900 8/27/118/27/12 NON -OWNED HIRED AUTOS HAUTOS PROPERTY I1AMh!GE Per accident $ A x UMBRELLA LIAB E%CESSLIAB OCCUR CLAIMS -MADE Y 48483139 9/29/110e/27/12 FACM OCCURRENCE s 2,000,000 6 AGGREGATE $ 2,000,000 DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA WC STATU- OTH- V IMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF FORT COLLINS PURCHASING DIVISION IS LISTED AS ADDITIONAL INSURED CITY OF FORT COLLINS PURCHASING DIVISION P.O. 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 0 1988-2010ACORD CORPORATION. All rights reserved. ACORD25(2010105) The ACORD name and logo are registered marks of ACORD