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HomeMy WebLinkAbout375464 DAVINCI SIGN SYSTEMS INC - INSURANCE CERTIFICATE (2)UP ID: KH "�� Rom' CERTIFICATE OF LIABILITY INSURANCE DAT06/20/12 F 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 endorsements . PRODUCER 970-635-9400 CONTACT PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 970-635-9401 PHONE FAX (AIL No Es[I' (AIL No): Johnstown, CO 80534 John Hintzman E-MAIL -ADDRESS: PRODUCER DAVIN•1 CUSTOMER ID, INSURERS) AFFORDING COVERAGE NAIC# INSURED DaVinci Sign Systems, Inc. 1 4496 Bents Drive Windsor, CO 80550 INSURER A:Pinnacol Assurance 41190 INSURER 8 INSURER C 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. DISK ADOOSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMBER MM/DD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY N/A DAMAGE TO RENTED PREMISES Eaoccunence Is CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY FI PRO n LOG $ AUTOMOBILE LIABILITY ANY AUTO N/A COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALLOWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIREDAUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ " AGGREGATE $ EXCESS LIAB CLAIMS -MADE N/A DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STATU- I IOTH- A A ANDEMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER E%CLUDED? (Mandatory In NH) NIA 4081336 07/01A2 07/01/13 X TORV-LIMITSL�ER EL EACH ACCIDENT $ 1,000,000 EL. DISEASE -EA EMPLOYEE$ 1,DOO,DO If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 N/A DESCRIPTION OPERATI S / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project. 7062 ncil Tree Exterior Signage CITYFTC City of Ft. Collins Financial Services/Purchasing Division P.O. Box 580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .1�^'�i> ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD