Loading...
HomeMy WebLinkAbout455983 ASPEN ENTERPRISES OF NORTHERN COLORADO INC - INSURANCE CERTIFICATEASPEN-4 OF ID: DA ,a►`oRo CERTIFICATE OF LIABILITY INSURANCE DAT12DYYYY) 124 124112 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 endorsements . PRODUCER Phone: 970-482-7747 CONTACT Brown &Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 970-484-4165 Fort Collins, CO 80525 House Account PHONEo FA% ac NEW: aC, Nol: E-MAIL ADDRESS: �( r 0 INSURERS AFFORDING COVERAGE NAIC N INSURERA: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises Of Nortfiern INSURER B: Pinnacol Assurance Company 41190 Colorado, Inc. Colorado, Inc. INSURERC:Old Republic Surety Company 40444 504 Mail Creek Ct INSURER D: INSURER E: Ft Collins, CO 80525 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 ADD TYPE OF INSURANCE INSR UE POLICY NUMBER MMIDDNYYY M ICY 1EXP R MLDOIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 60331630 01/03/13 01/03/14 PREMI ETORENTED PREMISES (Ea occurrence) $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGO $ 2,000,000 PRO LOC POLICY F1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO - - 60331630 01103/13 01103/14 ALL OWNED AUTOS AUTOS SCHEDULED BODILY INJURY (Per accident) E X HIRED AUTOS X NON -OWNED AUTOS .. PROPERTY pAMAGE Per accidZt $ Is UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/VEMSER EXCLUDED? ❑ (Mandatory In NH) NIA 4038546 07I01/12 07I01/13 WC STATU- OTH- X T RV LIMIT e.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE E SOO,OO er DIt ESCRIPTION Odescribe F OPERATIONS Below �E. L. DISEASE - POLICY LIMIT $ 500,00 C Crime RBS0528247 01/01113 01/01114 Bond 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Janitorial Services - Poudre Fire Authority, 102 Remington, Fort Collins, CO 80521 - City of Fort Collins is included as Additional Insured per policy forms and Conditions See Notes CITYF'10 City of Fort Collins Purchasing 215 N. Mason St. 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ASPEN-4 OP ID: DA CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYVY) 2/24/12 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 endorsements . PRODUCER Phone:970-482-7747 CONTACT Brown & Brown Inc Fax: 970-484-4165 4532 Boardwalk Dr, Suite 200 PHONE FAX AlC No E4, AIC No: E-MAIL ADDRESS: Fort Collins, CO 80525 House Account INSURER(S) AFFORDING COVERAGE NAICN INSURER A: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises of Northern INSURERS:Pinnacol Assurance Company 41190 Colorado, Inc. Colorado, Inc. INSURER C: Old Republic Surety Company 40444 504 Mail Creek Ct INSURER D: INSURER E: Ft Collins, CO 80525 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. IPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR AODL MD II POLICY NUMBER MMIDDNYW) (MMI DffYYYJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 60331630 01/03/13 01/03/14 DAMACET�ENTED PREMISES RENT occurrence)$ 100,000 CLAIMS -MADE OCCUR MEDEXP(Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY PRO- n LOG $ LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ AANY AUTO 60331630 01/03/13 01/03/14 -AUTOS qOMOBILE ALLOWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ NON-OWNED HIRED AUTOSX AUTOS PROPERTY DAMAGE Peracc otl $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS MADE DED RETENTIONS 1 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORZTINERIE%ECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 4038548 07/01/12 07/01/13 X WR STATU- OTH- E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 If i'es, descnDe under DESCRIPTION OF OPERATIONS 0elow I E.L. DISEASE -POLICY LIMIT $ 500,00 C Crime RBS0528247 01/01/13 01/01/14 Bond 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aftach ACORD 101, AddlUonal Remarks Schedule, If more space Is required) Janitorial Services - Poudre Fire Authority, Buildings ASB, 3400 W Vine, Fort Collins, CO 80521 - City of Fort Collins is included as Additional Insured per policy forms and Conditions See Notes CITYFIO City of Fort Collins Purchasing 215 N. Mason St. 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ASPEN-4 OP ID: DA ,a►`oRo CERTIFICATE OF LIABILITY INSURANCE DAT12/24 D/YYYY) F 12/24/12 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 Phone: 970.482-7747 ONTACT CNAME Brown & Brown Inc Fax: 970.484-4165 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account PHONE FAX _Awc,No,Ert): ac No: EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N INSURERA: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises of Northern INSURERS:Pinnacol Assurance Company 41190 Colorado, Inc. Colorado, Inc. INSURERC:Old Republic Surety Company 40444 504 Mail Creek Ct INSURER D: INSURER E Ft Collins, CO 80525 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 rypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR X 60331630 01/03/13 01/03114 CD PREMInrence PREMISES Eaoccu E 100,00 MED EXP(Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 RO LOC POLICY PPCT $ LIABILITY SINGLE LIMIT COMBINEDdent Ea acci $ 1,000,000 BODILY INJURY (Per person) $ AANY AUTO - 60331630 01/03113 01/03/14 POMOBILE ALL OWNED SCHEDULED AUTOS AUTOS - BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UPS CLAIMS MADE DIED I F TENTIONE I S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANV PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? O (Mandatory In NH) N I A 4038548 O7IO1N2 O7IO1N3 WC STATU- OTH- X T RY L MIT E.L. EACH ACCIDENT E 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,00 If yes, describe urn DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT 1 $ 600,00 C Crime RBS0528247 01/01/13 0//01114 Bond 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ANach ACORD 101, Additional Remarks Schedule, if more space is required) Janitorial Services - Poudre Fire Authority Prevention - 102 Remington, Fort Collins, CO 80521 - City of Fort Collins is included as Additional Insured per policy forms and Conditions See Notes CITYFIO City of Fort Collins Purchasiong 215 N. Mason St. 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 U 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD