HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (14)-Dec.21 2011 1:14PM No. P. 1/1
'" CERTIFICATE OF LIABILITY INSURANCE G2/23 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 PONCy(ies) must De endorsed. If SUBROGATION IS WANED, 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 andorsementfm
PRODUCER CONTACT Amanda Grunow
MF.
Colorado BW Instiraace Agency, Inc. PHonE - (970)223-0924 1 FAX
_^ - N-(ST0126]-2231
1075 W Horsetootl2 Rd, Ste 106 §.MAR ------ ,._..__.
Fort Collins CO 80526
INSURED
Anlaace Protection Ltd
PO Bolt 2401
rt Collins CO 80522
CCIVFanr-Fe -...--___ ..-- _
THIS
INDICATEWTHSTANDiNG
CERTIFICY
EXCLUSI
INSR
LTR
__`_"_
IS TIFY THAT THE POLICIES
ANY REQUIREMENT
BE ISSUED OR MAY
CONDITIONS OF SUCH
OFINSURANCE
OF
PERTAIN,
POLICIES,
INSURANCE
1 UBROLICY
LISTED BELOW HAVE BEEN
TERM OR CONDITION OF ANY
THE INSURANCE AFFORDED BY
LIMITS SHOWN MAY HAVE BEEN
POUCTNUMBER
ISSUED TO
CONTRACT
THE POLICIES
REDUCED BY
EFF
IDO
THE INSURED
OR OTHER
DESCRIBED
PAID CLAIMS.
vOUCY EXP
IODUMn9
REVISION NUMBER,
NAMED ABOVE FOR THE
DOCUMENT WTH RESPECT
HEREIN IS SUBJECT TO
POLICYPERIOD
TO WHICH THIS
ALL THE TERMS,
GENERTYEACH
X
CDL GENERAL LUBILRYP
fN
OCCURRENCE
S 1,000,000
S=s Ea ante
S 50,000
A
-MADE OCCUR
E?K607672
/1/2012
/1/2013
MEOW(ACY me onl
S 5,000
PERSONAL S ADV INJURY
S 1,000,000GENERAL
AGGREGATE
S 2,000,000
GENL
AE LIMIT APPLIES PER'PRODUCTS-COMPIOP
ADD
S 1,000,000
A
X
AUTOMOBILE
POPRO- LOC
LIABILITY
ANY AUTO
ALL OVMED SCNECDL90
AUTOS AUTOS
HIRED AUi OS ON -OWNED
AUTOS
ePRa07672
/1/2012
1/1/2013
COMBI I.VGLE UM
f
1 000 000
XI
BODILYCNJURY(Pm person)
S
BODILY INJURY( Per ec ,H
i
PROPERTY DAMAGE
6
Medico!
EACH OCCURRENCE
S 1,000, 000
A
B
X
UMBRELU LIAR OCCUR
EXCESS lJA6 CWMSAWDE
NIA
HD3369084
064145
/1/2012
/1/2012
1/1/2013
/1/2013
AGGREGATE
S
OED X RETENTIONS 10.00
MAKERS COMPENSATION
AND EMPLOYERS' uABILITY
ANY PROPRIETORIPARTNEREXECUTNE YIN
OFFICERRJES! BER EXCWDEDi ❑
(Ma -Wy In NHl
IfYee,6t be •,nWer
DESCRIPTION OF OPERATIONS xkw
WCS_ ATLI- OTH'
I
S
EL EACH ACCIDENT
S 11000,0100
U.L DISEASE - EA EMPLOYE
S 1 000 000
EL DISEASE - POLICY LIMIT
6 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (At CRACORDI61,AedltlonalRemads SCfwduN,Ifmore CPACeler@Wmd)
The certificate holder is named as an Additional Ynsured with respect to the ongoing operations of the
Named Inaured on the General Liability only.
CERTIPICATF wni nco _...__.. — _..
221-6707
City Of Fort Collins
Finance & Purchasing Department
Attn; Christine Jarvis
215 N, Mason St., Second Floor
PO BOX 580
Fort Collins, CO 80522-0580
125 (2010105)
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
Dennis Shafer/EVEAG
O 1988-2010
All Tlahfa rurzurvnH