HomeMy WebLinkAboutA CLEAN SWEEP LLC - INSURANCE CERTIFICATE^CORD M CERTIFICATE OF LIABILITY INSURANCE
DATE (MM
04,D312013VV)
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#
INSURED
A Clean Sweep LLC
1931 24th Avenue Court
INSURER^: Pinnacol Assurance
41190
INSURERS:
INSURERS .
Greeley, CO 80634
INSURER D
INSURER E.
COVERAGES
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 CONTRACTOR 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
POLICYEFFECTIVE
POLICY EXPIRATION
LTR
HERB
TYPE OF INSURANCE
POLICY NUMBER
OATE(MMIDOIVYYY)
DATEMWDDIYYYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
MED EXP(An......
PERSONAL B ADV INJURY
GEN L AGGREGATE LIMIT APPLIERS PER
GENERALAGGREGATE
PRODUCTS-COMPIOPAGG
POLICY PROJECT DOE
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea AccNenl)
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
Psr person
BODILY INJURY
HIREDAUTOS
NON OWNED AUTOS
(Per a¢itlenl)
PROPERTYOAMAGE
Peraccleent)
GARAGE LIABILITY
AUTOONLY-EAACCIDENT
OTHERTHAN EAACC
ANY AUTO
AUTO ONLY: AS
EXCEBBIUMBRELLA LIABILITY
OCCUR CLAIMEMADE
EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
WC STATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETOMPARTNERIEXECUTIVE
4108213
09/01/2012
06/01/2013
-xIORY LIMITS
EL EACH ACCIDENT
$100.000
OFFICERUMEMBER EXCLUDED?
ELDISEASE -EA EMPLOYEE
$100,000
If yes, PleasedescrlLeunder SPECIAL PROVISIONS below
EL DISEASE - POLICY LIMIT $500,000
OTHER
BE SCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1447338
City of Fort Collins
PO Box 580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins, CO 80522-0580
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
Sean Vis
ACORD 25(2001/08) 1
Underwriter ACORD CORPORATION 1988