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HomeMy WebLinkAbout108979 A & L SERVICES - INSURANCE CERTIFICATE (2)JUL-17-2012 11:48 From:AMERICAN FAMILY INS To:2216707 Paee:112 FAX ' Date: ' 711712012 ' To: From: Subject: Attn: bid# 6113 JUL-17-2012 11:48 From:AMERICAN FAMILY INS To:2216707 Page:212 CERTIFICATE OF LIABILITY INSURANCE A nerioin Family Inal,lmntle Company I I American Family Mutual Insoranre Company if selerbon box 15 not checked_ 6000 American Pky Madison, Wia:onsin 53783-0001 In4med'4 Name mud Address Agent's Name, Address and Phone Nl,unber (AOtlUisi.) A & L Services, LLC Daniel B R,(hmond (970) 484-2881 2329 W Mulbe:rry FL 923 E. ProspecL Rd Fbrl Collins, CO 80521-3224 f-brl Collins, CO 80525-1110 (0(151316) This certificate is Issued as a matter of Information only and conters no rights upon the Certificate Holder. This certificate does not amend, extend or alter the coverage afforded by the policies listed below. Tm¢ Is to c1411 Ir m©I 001HO n olns, 2nG, 10141) 1,610w nlly, b441 i33190 10 ma ns, bo 1111140 Joor6lo-It, 1, bons, 114.100 tn01, ]U0. nolwun3h 1011V enr iDOUL ,n, n, W.", orcolml oo of © in "o11, a orom9r .. nlwlh nnpn310 wtl Illhin o11R rvin ny I,n inn, n: ny pnrl Iln .. nrffu ntloyIt,poi ornl .auojnAl NIIt, In ,...xla _ "lo aA nt J, p111:lmn uo-r. o i, a- nn nnC n i ii o f -o TYPE OF INSURANCE POLICY NUMBER FFFFCI VF �FXP KAI';ON LIMITS OF LIABILITY IMo brV VI) jMo nrV. ) Homeownera/ Pmpoov oow000 Mobilehomeownera Liability eoo"C9ccwro"oo $ '000 Boatowners Liability e 1v i�f v P,opnoy on.»nyn '000 Personal Umbrella Liability Hooey 11 v 10 P.r,Ioly n„m000 F e, o[_ ;6 .000 rep», rm�nnv 8 rrnmwl i m�nnv Farm/Ranch Liability Emnlovnrn Llel,nnv F,-11 F, n I),[ n , $ 000 Workers Compensation and elnl,loiy :::::::: Employers Liability,( F, 11 V n l $ 000 o�n , ene, e»nlovnn $ '000 olso0so- Pow, uinll $ '000 General Liability hnn=1 Asa n]rin t6 2.000 000 U Conunefcjal General Ploo,013 lt»plIdw ern n„s A9V „ppl„ :6 2.000 000 Liability(occurrence) 05-XC5070-03 412812.012 4/28/2013 1 ao1o1 10 Ao�„nsnp 11,v $ 1,000 000 - -- — roanoo,,,„�o :6 1.000'000 ngllq.14ItI 111s 4411IwlI0 to Yo, _ $ _ 100'000 Mn rvIF an [N Vlln I m ) $ 5 000 Businesaownera Liability e f)[:[:t limm,'t t $ '000 A,a,a,n„nl6(( $ 000 Liquor Liability Gommontbls„unul $ '000 A, 141,1114 1 1nlll $ ,(100 Automobile Liability coolly n,i„v enm pn,no, ;6 ,000 I Any Auto I I All Owned Autos e, q m1 v F n A�alannl t6 '000 J Scheduled Autos :6 '.... Hired Auto Pr1»,y nem©oo '000 I I Nonowned Autos eoiily I'll-IVI,hu,milyn ]. Lon,Oinntl ;6 000 Excess Liability -.. 1 Conunefcial Blanket Exeosv' Il 000 Other (Miscellaneous Coveraaea) - City of For[ C(fllir18 PO Box 580 For[ Collinen. CO 80522 t1 . i�, „�. ❑'�. I� �„1 rr1 written notice to the Certificate Holder named, hot failure, to mail such notice shall impose no obligation or liability of any kind upon the company, its ajjents or representatives_ -10 days unless different nlnnbbw of days 5lown. This cealfl64 coverage on the hate of 1991,1e only, The above 1164cnbed pohde9 are anhletJ to oincellaLon 1n conformity with thei tens and by the laws of the stake of lssne.. 7/ 17/2012 V h l.rrl V l � !it-lWl �l U-201 Ed. 5100 Stork No. 06668 Rev. 7102