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HomeMy WebLinkAbout375464 DAVINCI SIGN SYSTEMS INC - INSURANCE CERTIFICATE (4)UP IU: NK ATE ,acoRor CERTIFICATE OF LIABILITY INSURANCE D05/28/2013 Y) 05/28/2013 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 certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 PRODUCER PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Hintzman INSURED 4496 Bents Drive Windsor, CO 80550 Phone: Fax: INSURER C : DAVIN-1 Assurance COVERAGE COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: NAIC N 190 THIS IS TO CERTIFY THAT 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 DOCUMENT 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. INIRADDL R TYPE OF INSURANCE I IWO II POLICY NUMBER MMIDD/YYYY) I (MM1D[[VYYYYJ LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR NIA EACH OCCURRENCE DAMAGE TORENTED PREMISES (Ea occurrence l $ $ MED EXP(Any one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F-1 PRO n LOC PRODUCTS - COMP/OP AGG $ I $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNEDAUTOS N/A COMBINED SINGLE LIMIT (Ea accidenq $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ I -I $ $ UMBRELLA LIAB EXCESS LIAB OCCUR N/A RRENCE AGGREGATE $ DEDUCTIBLE RETENTION $ $ Is A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUOG9 �N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4081336 07/01/2013 07/01/2014 WC STATU- OTH- X T RY LIMITS ER EL. EACH ACCIDENT $ 1,OOQ000 IEL . DISEASE - EA EMPLOYEE$ 1,000,000 E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 N/A DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: 7062 Council Tree Exterior Signage CITYFTC City of Ft. Collins Financial Services/Purchasing Division P.O. Box 580 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 4 9)1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD