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