HomeMy WebLinkAbout265716 WINDOW KING 111 INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE
DATE IMMIDDl1YVY)
UsnelzUlz
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#
INSURED
Window King 111 Inc
INSURERA Pinnacol Assurance
41190
INSURERS.
1383 Warbler St
INSURERC:
Loveland, CO 80537
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
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICYNUMBER
DATE(MWODIYYYY)
DATE(MM/DO/YYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MED EXPIAn cne person
PERSONAL B ADV INJURY
GENT AGGREGATE LIMIT APPLIERS PER:
GENERAL AGGREGATE
PRODUCTS COMP/OPAGG
1-1 POLICY L1 PROJECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea Accitlanlf
BODILY INJURY
ALL OWNED AUTOS
SCHEDULEDAUTOS
(Per person)
BODILY INJURY
HIREDAUTOS
NONOWNEDAUTOS
(Perecddenl)
PROPERTY DAMAGE
(Perac0denl)
GARAGE LIABUJIN
AUTO ONLY- EA ACCIDENT
OTHERTHAN EA ACC
ANY AUTO
AUTO ONLY. AG
EXCESS UMBRELLA LABILItt
OCCUR CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
OEOUOTIBLE
RETENTION $
WORKERS COMPENSATION AND
WCSTATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETOR/PARTNEWEXECUTIVE
4092978
06001/2012
06/01/2013
ORY LIMITS
EL EACH ACCIDENT
$1,000,000
OFFICEWMEMBER EXCLUDED?
E.L DISEASE - EA EMPLOYEE
$1.W0,0W
11 yes, pleasadeacnBe uWar SPECIAL PROVISIONS b low
E L DISEASE -POLICY LIMIT 1000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1391123
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Purchaing Division
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
215 North Mason St, 2nd floor
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
P O Box 580
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
Fort Collins, CO 80522
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25(2001I08)
Rodney Cole
Underwriter ACORD CORPORATION 1988