HomeMy WebLinkAboutA CLEAN SWEEP LLC - INSURANCE CERTIFICATE (2)ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (MMVY)
/2013
OS/1012013
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
INSURER A'. Pinnacol Assurance
41190
INSURER B'.
1931 24th Avenue Court
INSURER
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 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
LIE
INSRD
TYPE OF INSURANCE
POLICY NUMBER
DATEHAMIR YTYY)
DATE(MWDD/YYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MED EXP(AnV one person
PERSONAL S ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER
GENERAL AGGREGATE
PRODUCTS COMPIOP AGO
POLICY PROJECT LOG,
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
Ea Accitlanl)
BODILY INJURY
ALL OWNED AUTOS
SCHEOULEDAUTOS
(Per person)
BODILY INJURY
HIRED AUTOS
NON OWNED AUTOS
IParaccNaM)
PROPERTY DAMAGE
IPer accitlenQ
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
OTHER THAN EA ACC
ANYAUTO
AUTOONLY. AG
E%CESSIUMBRELLA LIABILITY
EACH OCCURRENCE
AGGREGATE
OCCUR CLAIMSMADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
X,: WC STATU' OTHER
M
EMPLOYERLIABILITY
ANY PROPRIETOR/PPRTNEWXEWTIVE
OFFICERIMEMBER EXCLUDED?
4108213
06/01/2013
06/01/2014
TORYLIMITS
E.LEACH ACCIDENT
$100.000
ELD6EASE-EA EMPLOYEE
$100.000
If yeS. OlaasetlescriOeuMer SPECIAL PROVISIONS Gabes
ELDISEASE- POLICY LIMIT $5p00pQ
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHIC LESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1454940
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
700 Wood Street
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Fort Collins, CO 80521
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)
Underwriter ACORD CORPORATION 1988