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HomeMy WebLinkAbout508019 O & S ONORATO & SON ARTISTIC CAULKING INC - INSURANCE CERTIFICATEACORD.M CERTIFICATE OF LIABILITY INSURANCE °ATE(MM,°° YYY) 01'07/2013 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. INSURERS AFFORDING COVERAGE NAIC# NSURED O & S Onorato & Son Artistic Caulking Inc 4330 E 109th Ave INSURER A: Pinnacol Assurance 41190 INSURER e INSURER Thornton, CO 80233 INSURER D'. INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANONG 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 POLEYEFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER DATE(MMIDD/YYYY) DATE(MMIDONYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE 11 OCCUR PREMISES NED EXPAry one person) PCPCnPAL 4 ADV !NJ'JRY GEN'L AGGREGATE LIMIT APPLIERS PER: GENER,LAGGREGATE PRODUCTS COMP/OP AGG POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea Accident) BODILY INJURY ALL OW NED AUTOS SCHEDULEDAUTOS (Parperson) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accidi PROPERTY DAMAGE (Peraccicen0 GARAGE LIABILITY AUTO ONLY -EA ACCIDENT OTHER THAN EA pCL ANY AUTO AUTO ONLY: AG EXCESSNMBRELLA LIABILITY - OCCUR CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC BTATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOIUPARTNER/EXECUTIVE OFFICER/MEMSER EXCLUDED? 4148132 06/01/2012 06/01/2013 TORY LIMITS E.L EACH DENT $1,000,000' EL DISEASE- EAEMPLOYEE $1,000,000 11 yes, please describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1428185 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Attn: Senior Center MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1200 Raintree Drive LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Fort Collins, CO 80521 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Karl Merida ACORD 25(2001I08) Underwriter ACORD CORPORATION 1988