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HomeMy WebLinkAbout245369 PREMIER FIRE PROTECTION INC - INSURANCE CERTIFICATE (2)Client#: 44470 PREFI ACORDTn CERTIFICATE OF LIABILITY INSURANCE D;T/a4;2o;2" 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 Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT NAME: Sandie Chellson PHONENo Xt g70 356-0123 FAX ac E: aC, No : 9705066836 ADDRESS: schellson@floodpeterson.com PRODUCER CUSTOMER ID C INSURER(S) AFFORDING COVERAGE NAICIf INSURED Premier Fire Protection Inc. 630 West 1st Street INSURER A: Gotham Insurance Company 25569 INSURER BPinnacol Assurance an The Cincinnati Insurance Com an INSURER C : Comp 10677 CO 80537 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 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 TYPE OF INSURANCE ODL UD POLICY NUMBER EFF MWDDNYV POLICY P MWDD/YYCY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR X BI/PD Ded:5,000 GL2012FSCO0118 12/04/201212/04/201 EACH OCCURRENCE $1000000 PRE' MG SES Eao�currDence $100 000 MEDEXP(Anyoneperson) $S,000 PERSONAL&ADV INJURY S1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PHI- FCT n LOL PRODUCTS - COMP/OP AGG 52,000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS ENP0162935 12/04/2012 12/04/2013 COMBINED SINGLE LIMIT (Ea accident) $1 000000 BODILY INJURY (Per person) $ BODILY INJURY (Par accitlent) $ X X PROPERTY DAMAGE (Per accident) $ X $ $ A X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE UM2012FSC00044 12/04/2012 12104/2013 EACH OCCURRENCE $5000,000 AGGREGATE s5,000,000 X DEDUCTIBLE RETENTION 10000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEV/N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4064028 12/01/2012 12/01/201 X WCSTATU- OTH ER E.L. EACH ACCIDENT $1000000 E.L. DISEASEEAEMPLOYEE $1,000,000 EL.DISEASE - POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 #S750137/M750099 The ACORD name and logo are registered marks of ACORD SXC