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HomeMy WebLinkAbout103910 ARAGON IRON & METAL CORP - INSURANCE CERTIFICATE (3)Client#: 12935 ARAIR ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) F 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 CONTACT NAME: Jennifer Winter PHON/CEo Earn); A/C970 266.7127 FAX, No):970 506-6846 AN ADDRESS: Jannifer.Winter@floodandpeterson.com FHUUUULK 970 356-0123 CUSTOMER ID#: INSURERS) AFFORDING COVERAGE NAIC # 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 C Pinnacol 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 LTH TYPE OF INSURANCE DDL UBR p POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DONYYY LIMITS A GENERAL LIABILITY F-L LIABILITY X COMMERCIAL MADE CLAIMS -MADE OCCUR I 02LX0062627254 10/01/2011 10/01/2012 EACH OCCURRENCE $1000000 DAMAGE TO -RENTED PREMISES Ea occur ence s300OOO MED EXP (Any one person) $10,000 PERSONAL& ADV NJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC IFCT PRODUCTS - COMP/OP AGG $2,000,000 IS 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) s BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ X $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE OlUD0004075364 10/01/2011 10/01/2012 EACH OCCURRENCE s2 OOD 000 AGGREGATE $2 OOO OOO DEDUCTIBLE RETENTION S 10000 $ X IS C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEP/EXECUTIVE YIN OFFICEWMEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DE SCRIPTION OF OPERATIONS below N/A 3081185 3/01/2012 03/01/2010 X WC$TATU- OTH ET. EACH ACCIDENT $1,000,000 E.L. DISEASE EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AUach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX SBO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE Q6 f�trr/�SL,� @1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 off The ACORD name and logo are registered marks of ACORD #S677594/M677592 JZS