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Home My WebLink About130163 EMPIRE CARPENTRY LLC - INSURANCE CERTIFICATE (2)ACCER CERTIFICATE OF LIABILITY INSURANCE DATE,A0912012 t 0109/2012 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. j 6 INSURERS AFFORDING COVERAGE NAIC# INSURED Empire Carpentry LLC 521.5 Sycamore St Fort Collins, CO 80521 INSURER A: Pinnacol Assurance 41190 INSURER e: C'. NINSURER ISD'. ER SUA RE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG 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 POLICY NUMBER DATE(MM/DD/YYYY) DATE(MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED PREMISES COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP(Anyone Pelson) PERSONAL A ADV INJURY GEN'L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS � COMP/OP AGO POLICY p PROJECT LCC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO E. Patient) BODILY INJURY ALL OWNED AUTOS SCHEOULEDAUTOS (Per pee..) BODILY INJURY HIREDAUTOS NON -OWNED AUTOS (Par acci lee) PROPERTY DAMAGE (Peramitlenl) GARAGE LIABILITY AUTOONLY-EAACCIDENT OTHER THAN EA ACC ANYAUTO AUTO ONLY. AG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WCSTATU-OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOPJPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? 1519590 09/D1/2012 09/01/2013 TORT LIMITS EL EACH ACCIDENT $100.000 EL DISEASE -EA EMPLOYEE $100,000 If yes, PleaPROVISIONS Gebw EL DISEASE -POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1411610 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing Division THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO PO BOX 580 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins, CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) Charles Doggett Underwriter ACORD CORPORATION 1988