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
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@1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 off The ACORD name and logo are registered marks of ACORD
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