Loading...
HomeMy WebLinkAbout455983 ASPEN ENTERPRISES OF NORTHERN COLORADO INC - INSURANCE CERTIFICATE (2)ASPEN-4 OP ID: DA ,a�oizo CERTIFICATE OF LIABILITY INSURANCE OAT06/2DD/YYYYI 1 6126113 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 certificate holder in lieu of such endorsements . PRODUCER Phone:970-482-7747 CONTACT NAME Brown & Brown Inc Fax: 970.4844165 . 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account PHONE FAX _(NC No, Est): (AIJ_No): E-MAIL ADDRESS: I1_{" (.{,> INSURERS) AFFORDING COVERAGE NAIC N INSURER A: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises of Northern INSURER B:Pinnacol Assurance Company 41190 Colorado, Inc. 504 Mail Creek Ct INSURER C: Old Republic Surety Company 404" INSURER D: Ft Collins, CO 80525 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. OLICY EXP INSR TYPE OFIN—MANGE ADDLi MD1 POLICY NUMBER MMIDDNYYY POLICY EFF MMIDDNYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 60331630 01/03/13 01103/14 PREMISES WEoN rrence PREMIAG ES Ea occurrence) $ 100,00 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY F7 PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlenl $ 1,000,00 BODILY INJURY (Per person) 8 A ANY AUTO 60331630 01/03/13 01/03114 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accitlenl NON -OWNED HIRED X HIRED AUTO $ X AUTOS I$ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE s E%CESS LIAB CLAIMS -MADE DED RETENTIONS I $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED9 (Mandatory In NH) NIA 4038548 07/01113 07/01/14 X WCSTATU- OTH- ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE -EA EMPLOYEE $ 500,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ 500,00 C Crime RBS0528247 01/03/13 01/03/14 Bond 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Janitorial Services - Poudre Fire Authority Prevention - 102 Remington, Fort Collins, CO 80521 - City of Fort Collins is included as Additional Insured per policy forms and Conditions See Notes City of Fort Collins Purchasiong 215 N. Mason St. Fort Collins, CO 80521 CITYFIO 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 25 (2010105) © 1988-2010 ACORD The ACORD name and logo are registered marks of ACORD All rights reserved ASPEN-4 OP ID: DA `4t`o�R� CERTIFICATE OF LIABILITY INSURANCE °AT06/26/13YY' 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 certificate holder in lieu of such endorsements . PRODUCER Phone: 970-482-7747 CONTACT NAME: Brown 8 Brown Inc Fax: 970-484-4165 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account PHONE FA% _IALC+No, EKth AIC Nol: EMAIL ADDRESS: INSURER(Sl AFFORDING COVERAGE NAIC k INSURER A: United Fire & Casualty Co. 13021 INSURED Aspen Enterprises of Northern Colorado, Inc. 504 Mail Creek Ct INSURER B: Plnnacol Assurance Company 41190 INSURERC:OId Republic Surety Company 40444 Ft Collins, CO 80525 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TYPE OF INSURANCE IDOL SUERPOLICY EFF LTPOLICY NUMBER MMIDDIYYYV) (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 60331630 01/03/13 01/03114 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL B AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,00 POLICY F_1 PRO n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident E 1,000,00 BODILY INJURY (Per person) $ A ANY AUTO 60331630 01/03/13 01/03114 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/ARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED' (Mandatory In NH) NIA 4038548 07/01/13 07/01114 X T ,RY LPMIT OTH- EL. EACH ACCIDENT E 500,00 EL DISEASE -EA EMPLOYEE $ 500,0O It yes, desonbe under DESCRIPTION OF OPERATIONS Uelm E.L. DISEASE -POLICY LIMIT I $ 500,00 C Crime RBS0528247 /111/13113 01103114 Bond 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) Janitorial Services - Poudre Fire Authority, 102 Remington, Fort Collins, CO 80521 - City of Fort Collins is included as Additional Insured per policy forms and Conditions See Notes CITYF10 City of Fort Collins Purchasing 215 N. Mason St. Fort Collins, CO 80521 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 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ASPEN-4 OP ID: DA '` l CERTIFICATE OF LIABILITY INSURANCE OATOYYYY) 06/26 06/26113 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 certificate holder in lieu of such endorsement(s). PRODUCER Phone:970-462-7747 CONTACT Brown & Brown Inc Fax: 970-484-4165 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account PHONE FAX ac No Eat - ac No): EMAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC9 INSURER A: United Fire & Casualty. Co. 13021 INSURED Aspen Enterprises of Northern Colorado, Inc. 504 Mail Creek Ct INSURER B:Pinnacol Assurance Company 41190 MSURERC:Old Republic Surety Company 40444 Ft Collins, CO 80525 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM LTR I DNYYY) (MMIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 60331630 01/03/13 01/03/14 DAM�ff Taa�_NrEO PREMISES Ea occurrence $ 100,000 CLAIMS -MADE FvI OCCUR MED EXP(Any one person) $ 5,00 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 POLICY PRO n LOC $ LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) E AANY AUTO 60331630 01/03113 01103/14 ALL OWNED SCHEDULED AUTOS AUTOS POMOBLE BODILY INJURY (Per accident) E PROPERTY DAMAGE Peracadein $ HIRED AUTOS X NON -OWNED AUTOS E UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ E B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNER/EXECUTIVE YIN UDED? OFFICERIMEMBER EXCL (Mandatory In NH) NIA 4038548 0701/13 07/01114 WC STATU- OTH- X I TORY LIMITS ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE E 500,00 If yea describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ 500,00 C Crime RBS0528247 01103113 01/03/14 Bond 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) Janitorial Services - Poudre Fire Authority, Buildings A&B, 3400 W Vine, Fort Collins, CO 80521 - City of Fort Collins is included as Additional Insured per policy forms and Conditions See Notes CITYF10 City of Fort Collins Purchasing 215 N. Mason St. Fort Collins, CO 80521 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD