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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