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Home My WebLink About133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (13)Dec. 12. 2011 1: 46 PM No.9267 P. i 1.i CERTIFICATE OF LIABILITY INSURANCE �� OATS (MMO 1z/1z/z011 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(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 Colorado BW Insurance Agency, Inc. 1075 W Horsetoeth Rd, Ste 106 1 Fort Collin CO $0526 V CONTACT Amanda G=Ow AME: PHONE (970)223-0924 P'uN :(970)267-2231 E,4p%L . amanda. g=cWbankofthewest-coed INSURE 3 AFFORDING COVERAGE NAIC0 INSURER A:ErereSt Indextru Ins Co INSURED Anlance Protection Ltd PO BOX 2401 Pt Collins CO 80522 INSURER 9:PinndC01 ASST1racCe 41190 INSURER CI INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:CL11121231480 REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO'M ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SMOVIN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ALIUL POLICY NUMBER OOULr EFK imlai PO4CY UP IMMI001YYYY)LIMBS GENERALLmeIIRY EACH OCCURRENCE S 11000,000 A X COMMERCIAL GENERAL LIA91UiY CLAM$•MAOE OCCUR 1GL000975-101 /I3/2011 /13/201x CAW �T PREMISES Ea acecrercv f SO, 000 MEO EXp( n S 5,000 PERSONAL S AW INJURY 5 11000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE UMR APPLIES PER: PRODUCTS - COMPIOP AGO $ 1,000,000 X POLICY PRO. LOC S AUTOM091LE UA&LITY COMBINED SINGLE LIMIT ANY AOTD 0001Y INJURY (Px Fe m) �i 3 AUT05�ED ALTOS BODILY INJURY Pereccidem ( ) s HIRED AUTOS HAUTOS P�PE�DAMAGE 3 S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAU CIAMS,MADE DEO RETENTIONS 3 B WORKER$ COMPENSATION lVC STATU. OTH. AND EMPLOYERS'UAMLITY YIN ANY PROPRIETOPIPARTNERJFXECUTIVE ❑ C .FiCER NEV.NEIR EXCLUDED? ( wY^ ) NIA 064149 /1/1012 /1/7013 i EACH ACCIDENT a 1,000,000 E.L DISEASE - EA EMPLOYE 3 1,000,000 NYea di DESCRIPTION OF OPERATIONS blow E.L. DISEASE- POLICY LIMIT 3 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLE$ (Aaach ACORD 101. Addldanal Remarks Schedule, It mare space le roRWnd) The certificate holder is named as an Additional Insured with respect to the ongoing operations of the Named Insured on the General Liability only. 707 City of Fort Collins Finance & Purchasing Department Attn: Christine .Tarvis 215 N. Mason St., Second Floor 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, AUTHORRED REPRESENTATIVE Shafer/EVEAG (201 ntom ® 1 BaR.201 A rivhte reserved.