HomeMy WebLinkAbout465444 SPIRAE INC - INSURANCE CERTIFICATEOP ID: GG
,n►`oizo CERTIFICATE OF LIABILITY INSURANCE
DN
DATE 06/0412013 Vl
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cerllNcate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER I Phone: 970.635-9400
PFS Insurance Group-JTr`: -''
4848 Thompson Pkwy, Ste 200 i Fax: 970-635-9401
Johnstown; CO 80534
-
NAME C
PHONE FAXI
AIC Nd Exit No:
E dAIL
ADDRESS:
MER ID C SPA RA-1
_
John HI nt2man
INSURERS AFRO RDING COVERMINSURED
- W
Spirae,Inc.
ApS
ChubbInsuranceGroupSpirae.DK
Pinnacol Assurance Co
RRERE
320 E. Vine Drive, Ste 307
Fort Collins, CO 80524
COVERAGES i-cm iir,,+IC
THE INSURED NAMED ICY PERIOD
EEN ISSUED
CE LISTED BELOW
ES OF
THIS CERTIFY
NOTWITH STANDING ANY( REQUIREMENTT,VBO E
INDICATED. , TERM OR CONDFION OFANY CO TRACTOROTHER DOCUMEN WITHREE PECT TO FOR THE LWHICH THIIS
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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
LTR
A
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Lisa
28aPOLICY
NUMBER
3593-71-28
MMIDD
08/3112012
'
MMDDIYI'YY
0813'1/2013
LIMBS
EACH OCCURRENCE
S 1,000,000
PREMISES Ea occurrence
$ 500,000
MED EXP(Anyone person)
$ 10,000
PERSONALB ADVINJURY
$ 1, 000,000
GENERAL AGGREGATE
$ 2,000,000
3593-71-28
08/3112012
08131/2013
X
Professional
PRODUCTS COMPIOP AGO
E2,000,000
LICY
LIMITAPPLIES PER
...
PRO LDOOBILELIABILITYLr
$
r
`
Y.AUTO -
-
7356-37�7
OB131/2012"
08131/2013(Ea
;-L
COMBINED SIN GLE LIh11T
accidenq
$ 1,000,000
BODILYINJURY(Perperson)'
SL
INJURY(Per accident)
$
OW NED AUTOSBODILY
rAGGREGA.T.E.1,1,MITA.PP1IES,GGREGATE.
HEDULED AUTOS
RED AUTOS
N-OW NED AUTOS$
' -
PROPERTY DAMAGE
(Per accident)
$
BRELLA LIAB
CESS LIAR
OCCUR
CLAIMSMADE
7988-1928
08/31/2012
08/31/2013
EACH OCCURRENCEJEJ
AGGREGATE
EDUCTIBLEETENTION
WC,TATU OERS
X TORY LIMITS
S
COMPENSATION
E.L. EACH ACCIDENTOFFICERIMEMBER
B
Aw EMPLOYERS'LIABILITY
ANY PROPRIE 0RIPARTNERIENECUTIVEY❑
EXCLUDED?
In NH)fys,desaunderEL.
DESCRIPTIDN OF OPERATIONS heldw
N1A
15NS7
10/01/2012
10/01/2013
EL DISEASEEA EMPLO(Mandatory
OI,EASE-POLICY LI
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHCLES (Attach ACORD101, Additional Remarks Schedule, if more space is required)
If required by written contract or written agreement, the certificate
older is included as additional insured for ongoing operations under
general liability.
City of Fort Collins
Attn: Risk Management
P.O. Box 580
Fort Collins, CO 80522
CITYFCI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD COR
reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD