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HomeMy WebLinkAboutWALKER MANUFACTURING CO - INSURANCE CERTIFICATEClient#: 20651 WALMA2 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 09/2812012 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 Flood & Peterson lns.,Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais PHONE g70 266.7121 970 50 A/C No Ext: A/C, No: 6-6846 E-MAIL Kell Beauvais floodand eterson.com ADDRESS: Y P CUSTOMER ID#: INSURER(S) AFFORDING COVERAGE NAIL # INSURED ---� Walker Manufacturing Co. 5925 East Harmony Road Fort Collins, CO 80528 INSURER A: The Hartford Insurance INSURER B Pinnacol Assurance INSURER C 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 REOUIREMENT, 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. R LPOLICY TYPE OF INSURANCE DDL UBR POLICY NUMBER MIDDIY POLICY I DDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7xOCCUR X $100,000 SIR 34ECSOF1729 9/3012012 09130/201 EACH OCCURRENCE S1 000000 PREMISES Ea� ence� s300OOO MOD EXP(An,om, ,sen) sExcluded PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY X PRO- LOC PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS AUTOS NON -OWNED AUTOS 34UUNNJO856 9/3012012 09/30/2013 COMBINED SINGLE LIMIT (Ea accident) s1,000,000 BODILY INJURY(Per person) $ BODILY INJURY (Per accident) $ 1XX PROPERTY DAMAGEHIRED (Per accident)$ S $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DEDUCTIBLE RETENTION s $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETORIPARTNERIEXECUTIVEYIN OFFICER/MEMBER EXCLUDED? (Myandatory in NH) If DESCRIPTION OF OPERATIONS below NIA 2270632 4/01/2012 04/01/2013 X WCST`jMI OTH E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE S$500,000 E.L. DISEASE - POLICY LIMIT sSOO,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is Additional Insured as their interests may appear regarding land leased at: Loc# 2 - 5244 Cessna Drive; Loveland, CO City Manager City of Ft. Collins 300 LaPorte Avenue Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 1 #S7389251M738921 The ACORD name and logo are registered marks of ACORD KLB