HomeMy WebLinkAbout265716 WINDOW KING - INSURANCE CERTIFICATE (7)ACORDIM CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
,1I14I2011
PRODUCER
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
Window King 111 Inc
1383 Warbler St
INSURERAa. Pinnacol Assurance
41190
INSURER B:
INSURER
Loveland, CO 80537
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
ADDI
POLICYEFFECTIVE
POLICYEXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICYNUMBER
OATEIMMIDDryYYY)
DATE(MMIDDM'W)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MEDEXPIAn onsperson
PERSONAL B ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER
GENERAL AGGREGATE
PRODUCTS-COMPIOPAGG
POLICY PROJECTn LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea Accident)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Pei parson)
BODILY INJURY
HIREDAUTOS
NON -OWNED AUTOS
(Per accirfenl)
PROPERTY DAMAGE
(Peraccirlenn
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
OTHER THAN EA ACC
ANY AUTO
AUTO ONLY. AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION IS
WORKERS COMPENSATION AND
X�WC STATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETORPARTNERUEXECUTIVE
4092978
06/0112011
06/01/2012
TORY LIMITS
E L EACH ACCIDENT
$1,000,000
OFFICERIMEMBER E)(CLUDED?
E LDISEASE - EA EMPLOYEE
$1,000.000
IF yea, please OesrnCauMa SPECIAL PROVISIONS Cebw
ELDISEASE- POLICY LIMIT
j100000
OTHER
I
DESCRIPTION OF OPERATIONSILOCATIONSIVEHIC LESMXC ILLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
I
CERTIFICATE HOLDER
CANCELLATION
1345215
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Purchaing Division
215 North Mason St, 2nd floor
P O Box 580
Fort Collins, CO 80522
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
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
Rodney Cole
ACORD 25(2001108)
Underwriter ACORD CORPORATION 1988