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Home My WebLink AboutPOTTER COMMERCIAL WALLS AND CEILINGS - INSURANCE CERTIFICATE (2)ACORDTN CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DD/YYYY) DvoT,zD,z PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Potter Commercial Walls and Ceilings Inc 43600 Hwy 50e Avondale, CO 81022 INSURER A: Pinnacol Assurance 41190 INSURER B: INSURER C'. INSURER D'. INSURER E'. COVERAGES 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 DOCUMMENT 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 ADOL POLICY EFFECTIVE POUCYE%PIRATION LIE INSRO TYPE OF INSURANCE POLICYNUMBER DATE(MMIDONYYY) DATEIMMIDDryYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES MERE% An oneperson PERSONAL S ADV INJURY GEN'L AGGREGATE LIMIT ARRUERS PER GENERALAGGREGATE PRODUCTS COMPIOPAGG POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AIRO Ea AP:AaM) BODILY INJURY . ALL OWNED AUTOS SCHEDULEDAUTOS IF. person BODILY INJURY HIRED AUTOS NxN OWNED AUTOS (Pel accbenN PROPERTY DAMAGE (PBf eCCilenl) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT OTHER THAN Eq qLC ANY AUTO AUTO ONLY: AG E%CESSNMBRELLALIAOILITY EACHOCCURRENCE AGGREGATE OCCUR CLAIMSMADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND WC STATU OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOR)PARTNERIEXECUTIVE 4102271 02/0112012 02/01/2013 TORY LIMITS E. L EACH ACCIDENT $1,000,000 OFFICERVEMBER EXCLUDEDo E.LOISEASE-EAEMPLOYEE $1.000.000 It yas, pleaseaesrnpeuMel SPECIAL PROVISIONS tebw EL DISEASE-PoLICY LIMIT $1,000000 OTHER :I- DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESMXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1362683 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO P.O. Box 580 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins, CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ryan Lanter ACORD 25(2001108) Underwriter ACORD CORPORATION 1988