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HomeMy WebLinkAboutSPANJER CONSTRUCTION CORP - INSURANCE CERTIFICATEVr'IUCPL CERTIFICATE OF LIABILITY INSURANCE DATED//13D(MM112 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 pollcy(les) 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 endorsements . PRODUCER 970-635-9400 CONTACT PFS Insurance Group -JT 970-635.9401 4848 Thompson Pinery, Ste 200 Johnstown, CO 80534 TLC -Special Accounts PHONE FAX ac Na Ext : ac No EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC a INSURERA: United Specialty Ins Company INSURED Spanjer Construction Corp. INSURER 8: Attn: Steve Spanjer 5131 S. College Ave., Ste A Fort Collins, CO 80525 INSURER C: 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. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX-I OCCUR D$108483 01/01/12 01/01/13 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP(My one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PRO LOC PRODUCTS-COMPIOP AGG $ 2,000,00 $ AUTOMOBILE UABIUTY ANY AUTO ALL OWNED SCHEDULED AUTOS NONAUT-OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident E BODI LY INJU RY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY OAfMGE Per accident $ UMBRELLA UAB EXCESS LUIB OCCUR CLAIMSl DE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERAIEMBER EXCLUDED? (Mandatory in NH) If Yee, deecn1,e under DESCRIPTION OF OPERATIONS below - N / A _ _ _ WC STATU- OTH ER E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ E. L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlUonal Remarks Schedule, If more apace Is required) Carpentry/All locationsl All Operations City of Fort Collins P.O. Box 580 Ft. Collins, CO 80524 CITYFT3 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 44^ ACORD 25 (2010/05) © 1988-2010 ACORD The ACORD name and logo are registered marks of ACORD All rights reserved