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HomeMy WebLinkAbout159569 PS INSTALLATIONS INC - INSURANCE CERTIFICATE (2)ACOBQM CERTIFICATE OF LIABILITY INSURANCE ai12%2013 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GREEN INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4 W Dry Creek Circle Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Littleton, CO 80120 (720) 266-6191 15150INSURERS AFFORDING COVERAGE NAIC# INSURED PS INSTALLATIONS, INC. ANDI INSURERA COLORADO CASUALTY SHELF IMAGE INC INSURER B. 3857 S STEELE ST UNIT C INSURER C. DENVER, CO 80205 INSURER DE 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION GATE MMIDD/VV LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMAOE OCCUR BKS 55562009 08/17/13 08/17/14 EACH OCCURRENCE $ 1 000 000 PREMISES Ea occurence $ lOO OOO MED EXP(Any one person) $ 10, 000 PERSONAL SADVINJCRY $ 1 OOO OOO GENERAL AGGREGATE $ 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER. 17 POLICY X PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 A X AUTOMOBILE LIABILITY ANVAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS BA8867677 08/17/13 - � 08/17/14 COMBINEDSINGLE LIMIT (Ea accident)itlent) $ 1,000,000 X BOr person) (Per person) $ BODILY INJURY (Peraccitlent) t) - $ PROPERTY DAMAGE (Peraccitlenp $ GARAGE LIABILITY ANYAUTO AUTOONLY-EAACCIOENT $ OTHERTHAN EAACC AUTOONLY: qGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR CI CLAIMSMADE DEDUCTIBLE X RETENTION $ 10,000 CU8869177 08/17/13 08/17/14 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ $ $ WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER E%CLUDED9 Ifyes tlesCnbeuntler SF EC IAL PROVISIONS below WOS A - TH- TWOLIMITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E. L. DISEASE -POLICY LIMIT $ A OTHER CARGO COVERAGE BKS 55562009 08/17/13 08/17/14 $500,000 PER LOAD DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CITY OF FT COLLINS 215 NORTH MASON FT COLLINS, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI' DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD25(2001I08) ©ACORD CORPORATION 1988