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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