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Home My WebLink About455983 ASPEN ENTERPRISES OF NORTHERN COLORADO - INSURANCE CERTIFICATE (2)A ORasCERTIFICATE OF LIABILITY INSURANCE OF ID DA DATE(MMIDDIYYYY) 06 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: H ONE A/C, No, Ext : (AIC, No): Blown & Brown Inc c MAIL ADDRESS: 4532 Boardwalk Dr, Suite 200 Fort Collins CO 80525 CUSTOM -PRODUCER CUSTOMER ID k: ASPEN-4 Phone:970-482-7747 Fax:970-484-4165 INSURERS) AFFORDING COVERAGE NAICN INSURED 1 L 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. INSR LTR TYPE OF INSURANCE AOO INSR SUB MD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICYEXP (MMIDDNYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR X 60331630 01/03/12 01/03/13 EACH OCCURRENCE $ 1,000,000 PREMS SO(Ea ocTcurrDence) $1.00,000 NED EXP(Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY n JPE LOC PRODUCTS - COMP/OP AGO s2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) 8 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB E%CESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ —^ DEDUCTIBLE RETENTION $ $ IS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVG� OFFICERIMEMBER EXCLUDE09 u (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 4038548 07/01/12 07/01/13 X - I TORV LIMIT$ ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT $ 500 , O OO C Crime RBS0528247 01/01/12 01/01/13 bOND 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space is required) Janitorial Services - Poudrg Fire Authority) Buildings A&B, 3400 W Vine, Fort Collins CO 80521 ity of Fort Collins is included as Additional Insured per dorm CG7151 02�11 CERTIFICATE HOLDER CANCELLATION City of Fort Purchasing 215 N. Mason Fort Collins Collins St. 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. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD R�® CERTIFICATE OF LIABILITY INSURANCE OF ID DA DATE(MMIDDYVYY) 06 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 - NAMEFAX AJC,,i (MC, No): Brown & Blown Inc ADDRESS: 4532 Boardwalk Dr, Suite 200 Fort Collins CO 80525 DUCER CUSTOMER to Ii ASPEN-4 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURERA: 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE R INSI WVDI POLICY NUMBER (MMIDDF Y YY) (MM/DDIVYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [_X] OCCUR X 60331630 01/03/12 01/03/13 EACH OCCURRENCE $1,000,000 PREMISES (Ea occurrence) $100,000 MED I(Anyone person) $ 5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: 17 POLICVn,PRO-LOC JECT PRODUCTS-COMPIOPAGG $2,000,000 $ AUTOMOBILE LIABILITY .. ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ _ -I $ B WORKERS COMPENSATIO N AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVC-I—I OFFICERIMEMBER EXCLUDED' u (Mandatory in Ni If yes, describe under DESCRIPTION OF OPERATIONS below N I A 4038548 07/01/12 I 07/01/13 X O TA U- TH- TORV LIMITS ER E L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT 1 $500,000 C Crime RBS0528247 01/01/12 01/01/13 bOND 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space is required) Janitoriala, Services - Poudre Fire Authority, 102 Remington, Fort Collins, CO CG7151 0Myl of Fort Collins is included as Additional Insured per form 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. Fort Collins CO 80521 ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD �Rb` CERTIFICATE OF LIABILITY INSURANCE OP ID DA DATE(MMIDDYYVY) 06 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 UUNT NAME: PHONE FAX A/C, No, Ezt): (AIC, No): Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins CO 80525 _ADDRESS: PRODUCER CUSTOMER Io a: ASPEN-4 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAIC a INSURED INSURER A: United Fire & Casualty Co. 13021 Aspen Enterprises of Northern Colorado, Inc. INSURER B: Pinnacol Assurance Company 41190 INSURER C: old Repudlac surety company 40444 504 Mail Creek CIE 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. LTR TYPE OF INSURANCE NSR SWVDI POLICY NUMBER POLICY EFF (MMIDDlYYYY) POLICY EXP IMMIDDIYYYY) LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X 60331630 01/03/12 01/03/13 EACH OCCURRENCE $ 1,000,000 -DAMAA PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY n JECT LOC PRODUCTS-COMPIOP AGG $2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) - $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) 8 PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE 8 AGGREGATE 8 II DEDUCTIBLE I RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERJEXECUTIVEL]�f OFFICERIMEMBER EXCLUDED? (Mandatory in NH) H Yes, descnba under DESCRIPTION OF OPERATIONS below IA 4038548 07/01/12 07/01/13 X - - TORV LIMITS ER EL. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT 1 s500,000 C Crime RBS0528247 01/01/12 01/01/13 bOND 10,000 DESCRIPTION OF OPERATIONS I 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 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYF10 I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE Purchasiong 215 N. Mason St. Fort Collins CO 80521 it r% N I, reserved. ACORD 25 (2009I09) The ACORD name and logo are registered marks of ACORD