HomeMy WebLinkAbout495782 ABOVE ALL DENVER WINDOW - INSURANCE CERTIFICATEABOVE-3 OP ID: LB
CERTIFICATE OF LIABILITY INSURANCE
oAT08/13/1o2YY)
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 terns 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 303-480-5005
CONTACT
Bradley Insurance Group 303-458-5857
3401 W. 38th Avenue
Denver, CO 80211
David A. Bradley
y�'y� ply
1.P V
pHONE FAR
ac No Ext: ac No:
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAICM
INSURER A: Western Heritage
INSURED Tim Quintana DBA:
INSURER B: Scottsdale Insurance Company
Above All Denver Window
Cleaning
4457 Clay St.
INSURERC:
INSURER D:
Denver, CO 80211
INSURERE:
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
POUCYNUMBER
MMA)DY EFF
MPIOLICp EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FxI OCCUR
X
SCP0864102
08/17/12
'
08/17/13
EACH OCCURRENCE
$ 1,000,00
PREMISES Ea occurrence
$ 100,00
MED EXP (Any one person)
$ 5,00
PERSONAL$ ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
1-1 POLICY - PRO- LOC
PRODUCTS-COMP/OP AGG
$ 2,000,00
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIREDAUTOS AUTOS
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
B
X
UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
XBS0019182
08/17/12
08117113
EACH OCCURRENCE
$ 3,000,00
AGGREGATE
$
OED X RETENTION$ 10000
$
WORKERS COMPENSATION
AND EMPLOYERS'WBILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERNEMBER EXCLUDED?
(Mandatory In NH) _
Dif ESCRIPTION OF OPERATIONS be.
NIA
WC STATU- OTH.
T RY LIMIT ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, If more apace Is required)
CITYFOR
City of Fort Collins
Purchasing Dept
215 N. Mason Stre, 2nd Floor
Fort Collins, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
REPRESENTATIVE
01988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD