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Home My WebLink About455983 ASPEN ENTERPRISES OF NORTHERN COLORADO - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE OP ID DA DATE(MMIDD/YYYY) 03 19 12 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 NAME: AIC, No, EX[: (AIC, No): Brown & Brown Inc ADDRESS: 4532 Boardwalk Dr, Suite 200 Fort Collins CO 80525 CUSTOMERIod: ASPEN-4 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAIC If INSURED INSURER A: United Fire & Casualty Co. 13021 Aspen Enterprises of Northern Colorado, Inc. INSURER B: Pinnacol Assurance Company 41190 INSURER : old Republic Surety company 40444 504 Mail Creek Ct Ft Collins CO 80525 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 I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AD INSR adEFF WVD POLICY NUMBER (MOLICYYYY) ODCYEXP (MMIDD/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—xl OCCUR X 60331630 01/03/12 01/03/13 EACH OCCURRENCE $1,000,000 PREMISES (Ed occurrence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $1, 000, 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO - ECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 01/03/12 01/03/13 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X IS $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below IA 4038548 07/01/11 07/01/12 X - - TORY LIMITS ER E1, EACH ACCIDENT $ 500, 000 E.L. DISEASE - FA EMPLOYEE $ 5 0 0 , 0 0 0 EL.DISEASE - POLICY LIMIT $500,000 C Crime RBS0528247 01/03/12 01/03/13 Bond 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Janitorial Services - Poudre Fire Authority1 Buildings A&B, 3400 W Vine, Fort Collins CO 80521 1ty of Fort Collins is included as Additional Insured per dorm CG7151 02�11 C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYFIO I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Purchasing 215 N. Mason St. All rights reserved. AGUKU 25 (ZOU9/U9) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DA DATE(MMIDD/YYYY) 03 19 12 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 NAME: A/C, No, Est): INC, No): Brown & Brown Inc ADDRESS: 4532 Boardwalk Dr, Suite 200 Fort Collins CO 80525 InOM ER ID a: ASPEN-4 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURER A: United Fire & Casualty Co. 13021 Aspen Enterprises of Northern Colorado, Inc. INSURER B: Pinnacol Assurance Company 41190 INSURER C: old Republic Surety company 40444 504 Mail Creek Ct Ft Collins CO 80525 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. ILTR TYPE OF INSURANCE ADD INSR SUB WVD POLICY NUMBER F (MMIDD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX] OCCUR x 60331630 01/03/12 01/03/13 EACH OCCURRENCE PR MS SOEa occu ante) $1,000,000 $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY n JEC n LOC PRODUCTS - COMPIOP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Ol/03/12 Ol/03 /13 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (PROPERTY DAMAGE (Per accident) $ X X $ UMBRELLA LIAB E%CESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION It $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORJPARTNERIEXECUTIV�IyI OFFICERIMEMBER EXCLUDED? - (Mandatory in NH) p YSCRIPTIONes, describe OFF DESCRIPTION un OPERATIONS Celow IA 4038548 07/01/11 07/01/12 X - TORY LIMITS ER E.L. EACH ACCIDENT $SOD, OOO E.L. DISEASE - FA EMPLOYEE $ 5 00 , Q 0 0 E.L. DISEASE - POLICY LIMIT $500,000 C Crime RBS0528247 01/03/12 01/03/13 Bond 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Janitorial Services - Poudre Firg Authority, 102 Remington, Fort Collins, CO 80521 - C'ty of Fort Collins is included as Additional Insured per form CG7151 02�11 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYFIO I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE Purchasing 215 N. Mason St. reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Rb' CERTIFICATE OF LIABILITY INSURANCE OP ID DA DATE(MM/OO/YYYY) 03 19 12 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 WNIAUI NAME: PHONE A .T4 ExQ: (AIC, No): Blown & Blown Inc ADDRESS: 4532 Boardwalk Dr, Suite 200 Fort Collins CO 80525 DOER CUSTOMER ID p: ASPEN-4 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAICIf INSURED INSURER A: United Fire & Casualty Co. 13021 Aspen Enterprises of Northern Colorado, Inc. INSURERB: Pinnacol Assurance Company 41190 INSURER C: old Republic surety Company 40444 504 Mail Creek Ct Ft Collins CO 80525 INSURER D INSURER E INSURER I: 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 INSURANCE ADDUSUB INSR WVD POLICY NUMBER POLICY EFFTPOLICYEXP (MM/DD/YYYY' (MMIDD/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 60331630 01/03/12 01/03/13 EACH OCCURRENCE $ 1,000,000 PREMISES at occurrence) $ 100,000 MED EXP (Any one pemon) $5,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY F7 PROJECT- LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 01/03/12 01/03/13 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ Is UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINANY OFICERIMEMBOER EXCLUDED?ECUTIVG�N/A (Mandatary in NH) u It yes, describe under DESCRIPTION OF OPERATIONS below 4038548 07/01/11 07/01/12 X - TORV LIMITS ER E.L. EACH ACCIDEM s500,000 E.L. DISEASE- EA EMPLOYEE$500,000 E.L. DISEASE -POLICY LIMIT I $ 5 0 0 , 000 C Crime RBS0528247 01/03/12 01/03/13 Bond 10,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Janitorial Services - Poudre Fire Authority Prevention - 102 Remington, Fort Collins, CO 80521 City of Fort Collins is included as Additional Insured per form CG7151 02/11A CERTIFICATE HOLDER CANCELLATION CITYFIO I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Purchasiong 215 N. Mason St. Fort Collins CO 8052 All rights ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD