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HomeMy WebLinkAboutCOLORADO SASH & DOOR INC - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE OF ID DA DATEIMMIDDII'YYY) 06 11 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 UUN IA NAME: AIC, No, Ext : ("VC, No): Brown & Brown Inc ADDRESS: 4532 Boardwalk Dr, Suite 200 FOIL Collins CO $0525 CUSTOMER ID P: COSAS-1 Phone:970-482-7747 Fax:970-484-4165 INSURERS) AFFORDING COVERAGE NAICN INSURED INSURER A: AMCO Insurance Company 19100 Colorado Sash & Door, Inc P. O. Box 270682 INSURER : Depositor. xssarasce Company 425$7 INSURER C: Pinnacol Assurance Company 41190 Fort Collins CO 80527 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 CONTRACTOR 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 INSRI WVD POLICY NUMBER (MMIODIYYYY) (MMIDD/VYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE OCCUR ' X ACP7514152079 12/08/11 12/08/12 EACH OCCURRENCE $ 1,000,00 PREMISATES�eoc�r0ence $300,000 MED 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 JECOT n LOC PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS ACP7514152079 - 12/08/11 12/08/12 COMBINED SINGLE LIMIT (Ea accident) $11000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ S A IX UMBRELLA LIAR X EXCESS LIAR I I OCCUR I CLAIMS -MADE ACP7514152079 12/08/11 12/08/12 1 EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 X I DEDUCTIBLE RETENTION $ D s $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVEL] OFFICEIRMEMBE (Mandatory in NH) 8 yes, describe under DESCRIPTION OF OPERATIONS sets. MIA 4024240 06/01/12 06/01/13 X - TORY LIMITS ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 E.L. DISEASE -POLICY LIMIT 1 $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is pi CERTIFICATE HOLDER CANCELLATION City of Fort Collins Utility Department 700 Wood St. Fort Collins CO 8052 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE UTILFTC I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (ZU09109) ACORD The ACORD name and logo are registered marks of ACORD reserved.