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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