HomeMy WebLinkAbout130144 POTTER COMMERCIAL WALLS AND CEILINGS INC - INSURANCE CERTIFICATEACORD.M CERTIFICATE OF LIABILITY INSURANCE
°ATE(MM01/3I20130/2013YY)
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#
INSURED '—'—" 1
Potter Commercial Walls and Ceilings Inc
43600 Hwy 50e
Avondale, CO 81022
INSURER A: PIOOacol Assurance
41190
INSURER B:
INSURER C:
INSURER D:
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG
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
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRO
TYPE OF INSURANCE
POLICY NUMBER
OATEIMMIDIXYYYT
OATEIMMIDDNYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MEO EXPAny one person
PERSONAL B ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER
GENERALAGGREGATE
POLICY ❑ PROJECT LOG
PRODUCTS COMP/OPAGG
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea Accident)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULEDAUTOS
(Pelpenp0
BODILY INJURY
HIRED AUTOS
NON OWNED AUTOS
(Peleccidenl
PROPERTY DAMAGE
(PereccNenp
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
ANY AUTO
AUTO ONLY: AGG
E%CESSNMBRELL , LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR CLAIMS MADE
DEDUCTIBLE '
RETENTION S
WORKERS COMPENSATION AND
WC STATLL OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETOWARTNEWE%ECUTIVE
4102271
02/01/2013
02/01/2014
TORY LIMITS
E.L EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
EL DISEASE EA EMPLOYEE
$1.000,000
If yes, pleasede—b—WeI SPECIAL PROVISIONS Cebw
E.L DISEASE POLICY LIMIT
$1000000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLE S/EXCLUSIONS ADDED BY ENDORSEME NTISPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1433751
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
P.O. Box 580
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins, CO 80522
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Rywrian Lanter
ACORD 25(2001/08)
Underter ACORD CORPORATION 1988