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Home My WebLink AboutAMERICAN SPRINKLER INC - INSURANCE CERTIFICATEClient#: 47903 AMESP ACORD.. CERTIFICATE OF LIABILITY INSURANCE F DATE""01/31/2012 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. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Jennifer Winter PHONE FAX A/C No Ert : 970 266-7127 N, No): 970 506-6846 nooalEss: Jennifer.Winter@floodandpeterson.com PRODUCER CUSTOMER ID#: INSURER(S) AFFORDING COVERAGE NAIC If INSURED INSURER A: Travelers Insurance Company American Sprinkler, Inc. 14583 N. Meadow Woods Street INSURER BPinnacol Assurance Brighton, CO 80603 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. INSR LTR TYPE OF INSURANCE DDL NSR Wall NVD POLICY NUMBER POLICY EFF MWDDNYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PD Ded:2,500 DTC05948P715TIL1 2/01/2012 02/01/2013 EACH OCCURRENCE $1 1000000 PREMISES (Ea occurrence) s3000OO MED EXP(Any One person) $5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO JECTLOC PRODUCTS - COMPIOP AGO $2,000,000 $ /t AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car DT8105948P715TIL 2/01/2012 02/01/2013 CO eBINEDt)SINGLE LIMIT $(Ed1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X S X IS A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP5948P715T 2/01/2012 02/01/201 EACHOCCURRENCE s5000000 AGGREGATE $5 OOO OOO DEDUCTIBLE RETENTION 10000 IS X $ B WORKERS COMPENSATION AND EMPLOYER$' LIABILITY IN ANY PROPRIETONPARTNELEXECUTIVE YN/A OFFICENMEMSER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 4111723 2/01/2012 I 02/01/201 X WCSTATU- OTH- R E.L. EACH ACCIDENT $1,000000 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 La Porte Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE t.-Ill (91988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 oil The ACORD name and logo are registered marks of ACORD _ __ #S671997/M671958 "JZS