HomeMy WebLinkAboutKEA CORPORATION - INSURANCE CERTIFICATEClient#: 46856
KEACO
ACORD CERTIFICATE OF LIABILITY INSURANCE
F DATE"""DNYYY)
2/15/2012
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
970356-0123
NAME: CONTACT Flood & Peterson Insurance
PHONE FAX
uC No Ext : 720-977-711 O A/C, No): 720-977-7113
-MAIL
ADDRESS:
CUSTOMER ID k:
INSURER(S) AFFORDING COVERAGE
NAIC9
INSURED
KEA Corporation
700 W. 48th Avenue, Unit B
Denver, CO 80216
INSURER A: Companion Specialty Insurance C
INSURER B:PinnacolAssurance
INSURER C: Travelers Insurance Company
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.
LTR
TYPE OF INSURANCE
D
POLICY NUMBER
PMM%OUNYYY
MM/OD/YVVV
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE IFI OCCUR
X BUPD Ded:2,500
VGL1011142
0210712011
04/01/2012
EACH OCCURRENCE
$1000000
AMArO RENTED
PREMISES Ea occunence
$100000
MED EXP (Any one person)
$5,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO LOC
PRODUCTS - COMP/OP AGG
$2,000,000
$
C
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
BA4406C31511SEL
2/07/2011
04/01/201
COMBINED SINGLE LIMIT
(Ea accident)
$11000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
1$
A
X
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
VUE1111270
2/07/2011
04/01/2012
EACH OCCURRENCE
s3000000
AGGREGATE
s3 OOO OOO
DEDUCTIBLE
RETENTION 10000
IS
X
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYIMITq
ANY PROPRIETOR/PARTNER/EXECUTIVEY/N
OFFICEWMEMBER EXCLUDED?
(Mantlatory in NH)
It yas, desenbe Onder
DESCRIPTION OF OPERATIONS below
N/A
4102579
4/01/2011
04/01/201
X WC STATU- OTH-
TORY[B
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
E.L. DISEASE - POLICY LIMIT
s500OOO
C
Inst. Floater
16601401C861TIL11
2/07/2011
04/01/201
$300,000 Limit
$500 Ded..
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
City of Ft Collins
281 N College Ave 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.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2009/09) 1 of 1
#S676611/M671552
01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SIH