HomeMy WebLinkAbout103910 ARAGON IRON & METAL CORP - INSURANCE CERTIFICATE (2)ARAIR
Client#: 12935
ACORDre CERTIFICATE OF LIABILITY INSURANCE
DATE2/20nvvv)
02/22/2012
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
970 266-7127 aX, ae: 970 506-6846
R:-,,J�ennifer.Winter@floodandpeterson.com
ADoaless: Jennifer.Winter@floodandpeterson.com
E
CUSTOMER ID r:
INSURER(S) AFFORDING COVERAGE
NAIL N
INSURED
Aragon Iron & Metal Corp
516 Highway 287, North
Fort Collins, CO 80524
INSURER A: Granite State Insurance
INSURER B: National Union Fire Insurance
INSURER CPinnacol Assurance
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
DDL
N R
UBR
POLICY NUMBER
POLICY EFF
MM/DDIYYYV
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIM$MADE Fvl
OCCUR
02LX0062627254
10/01/2011
10/01/2012
EACH OCCURRENCE
$1000000
DAMAGE TOR NTED
PREMISES Ea occurrence
s300,000
MED EXP(Any one person)
$10,000
PERSONAL &ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PlPQ.TRO 71 LOC
PRODUCTS - COMP/OP AGO
$2,000,000
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Drive Other Car
02CA0062696974
0/01/2011
10/01/2012
COMBINED SINGLE LIMIT
(Ea accident)
$1000000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
(Per accident)
$
X
X
S
X
s
B
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
OlUD0004075364
10/01/2011
10/01/2012
EACH OCCURRENCE
$2,000,000
AGGREGATE
$2 1 0-00 1ODD
DEDUCTIBLE
RETENTION IS 10000
$
X
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICEWMEMBER EXCLUDED?
Mandatory in NH)
If describe under
DESCRIPTION OF OPERATIONS below
WA
3081185
3/01/2012
03/01/2013
X WC$TATU- OTH
ER
E.L. EACH ACCIDENT
$11000000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E. L. EASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ANach ACORD 101, Additional Remarks Schedule, U more apace is required)
Certificate Holder is listed as an Additional Insured.
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
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
@1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1
#S677595/M677592
The ACORD name and logo are registered marks of ACORD
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