HomeMy WebLinkAbout245369 PREMIER FIRE PROTECTION INC - INSURANCE CERTIFICATEClient#: 44470
PREFI
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
F
12108/2011
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. 0. Box 578
Greeley, CO 80632
970356-0123
CONTACT NAME: Sandie Chellson
PHONE 970 356-0123 FAX 9705066836
A/C No Ea : A/C, No
AOD 1 S. Sandie.chellson@floodandpeterson.com
CUSTOMER ID If
INSURER(S) AFFORDING COVERAGE
NAICa
INSURED
Premier Fire Protection Inc.
630 West 1st Street
Loveland, CO 80537
INSURER A: Gotham Insurance Company
25569
INSURER BPinnacol Assurance
INSURERc: The Cincinnati Insurance Compan
10677
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 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.
INSR
OF INSURANCE
4DDTYPE
SR
O
POLICY NUMBER
MWDD/YYVY
MM/DD/YYVV
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 51OCCUR
X PD Ded:5,000
GL2011 FSC00118
2/04/2011
12104/2012
EACH OCCURRENCE
$1 OOOOOO
PREMISES Ea occurrence
$1 OO 000
MED EXP (Any one person)
$5,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
52,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO JECT 1-1 LOC
PRODUCTS COMP/OPAGG
$2,000,000
$
*
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CAP5220602
12/04/2011
12/04/2012
COMBINED SINGLE LIMIT
(Ea accident
$1,000,000
X
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
(Per accident
S
X
X
S
S
A
X
UMBRELLA LIAR
EXCESS LIAR I
OCCUR
CLAIMS -MADE
UM2011 FSC00044
2/04/2011
12/04/2012
EACH OCCURRENCE
SS OOO OOO
AGGREGATE
$S GOO 000
DEDUCTIBLE
RETENTION 10000
$
X
$
B
AND EMPLOYERS' LIABILITY WORKERS COMPENSATION
ANY PROPRIETOR/PARTNER/EXECUTIVEV/N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, d scribe under
DE SCRIPTION OF OPERATIONS....
N/A
4064028
12/01/2011
12/01/201
X T STATU DTH
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
1$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space 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.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2009/09) 1 Of 1
#S660965/M660949
01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SXC