HomeMy WebLinkAbout117101 VISION GRAPHICS INC - INSURANCE CERTIFICATE (7)VISIGRA-01 FISERMA
ACORO' CERTIFICATE OF LIABILITY INSURANCE
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DATE (MM/DD YYYY)
7/23/2013
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
certificate holder in lieu of such endorsement(s).
PRODUCER
Willis of Wyoming, Inc.
c/o 26 Century Blvd.
P.O. Box 305191
Nashville, TN 37230-5191
CONTACT _
NAME:
PHONE 877 945-7378 FAX
A/C No Ext : ( ) AIC No): (888) 457-2378
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC k
INSURERA:Fireman's Fund Insurance Company
21873
INSURED
11{1`O
INSURER B: Pinnacol Assurance Company
41190
INSURER C
Vision Gra Graphics, Inc.
P , 1 ` 1 `
Keyline Graphics, Inc.
5610 Boeing Dr
INSURER D:
Loveland, CO 80538
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
LTR
OF INSURANCE
ADDLSUBTYPE
R
POLICY NUMBER
MM/DDY/YYYY
/Y MM
/DDYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx_1 OCCUR
AZC80878302
7/19/2013
7/19/2014
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$ Included
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO LOC
JEC
PRODUCTS - COMP/OP AGG
$ Included
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
A S6 MZA 80292557
7/19/2013
7/19/2014
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
PER ACCIDENT
$
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
AZC80878302
7/19/2013
7/19/2014
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
DIED I I RETENTION$
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If es, describe under
DESCRIPTION OF OPERATIONS below
N/A
4126280
7/1/2013
7/1/2014
WC STATU- X OTH-
RV LIMITS ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
Building Property
AZC80878302
7/19/2013
7/19/2014
Ded $5,000/Limit: 7,400,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
1�11111r lRl\lliy�l
City of Fort Collins
Purchasing Division
PO 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
C 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD