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Home My WebLink About130163 EMPIRE CARPENTRY LLC - INSURANCE CERTIFICATE (3)ACORD'M CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/1YYV) oarovzolz PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# Empire Empire Carpentry LLC 0 1� 521.5 Sycamore St Fort Collins, CO 80521 INGURER A . Pinnacol Assurance 41190 INSURER B. INSURER C: INSURER D'. INSURER E: COVERAGES 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 DOCUMMENT 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 ADD POLICYEFFECTIVE POLICYEXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATEIMMIDDNYYV) DATE(MMIDDMYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED PREMISES COMMERUAL GENERAL LIPBILITY CLAIMSMADE OCCUR MEDEX An pnsperson PERSONAL& ADV INJURY ' GEN'L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS COMPIOPAGG 1-1 POLICY 11 PROJECTn LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea Accganl BODILY INJURY ALL OWNED AUTOS SCHEDULEDAUTOS (Per person BODILY INJURY HIRED AUTOS NON OWNED AUTOS (Peracci0enl) PROPERTY DAMAGE (PerecIncur) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY. AG EXCESSNMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION E - WORKERSCOMPENSATIONAND WC STATLL (OTHER A EMPLOYER'S LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERJMEMBER EXCLUDED? 1519590 09/01/2011 09/01/2012 TORY LIMITS EL EACH ACCIDENT $100,000 E.L DISEASE-EAEMPLOYEE S100,000 IT yes, pleasedearnbe under SPECIAL PROVISIONS below E.L DISEASE -POLICY LIMIT 500000 OTNER DESCRIPTION OF OPERATIONSILOCATIONSIVE RIC LESIEXCLUSIONS ADDED BY E NDORSE MENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1374392 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Purchasing Division MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 281 N College Fort Collins, CO 80521 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Charlwries Doggett ACORD 25(2001I08) Underter ACORD CORPORATION 1988