Loading...
HomeMy WebLinkAboutAMERICAN SPRINKLER INC - INSURANCE CERTIFICATE (2)rrpntfr a7111711 AMESP ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01 /30/2014 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 Flood &Peterson Ins., Inc. NAME:ACT Jennifer Winter FAX (AIC, r PHONE" EA, 970 506-3206 AIC N,; 970 506-6846 P. O. Box 578 E-MAIL SS: JWinter@floodpeterson.com Greeley, CO 80632 INSURER(S) AFFORDING COVERAGE NAIC # 970 356-0123 INSURER A: Travelers Indemnity Company 25658 INSURED American Sprinkler, Inc. 14583 N. Meadow Woods Street INSURERS: Pinnacol Assurance 41190 INSURER C Brighton, CO 80603 INSURER D : INSURER E INSURER F roVFRAGES 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 CONTRACTOR 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. �TR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MMIDDY EFF POLICY LIMITS A GENERAL LIABILITY .it COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7x OCCUR X PD Ded:2,500 DTC05948P7151ND1 2/01/2014 02101/2015 EACH OEC7CURRREENCE $1 000000 PREMISES Eeo rtence s3000OO MED EXP (Any one person) $5 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Fx PROT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY tXANYAUTOBODILY LOWNED SCHEDULED AUTOS RTED AUTOS X NON -OWNED AUTOS Oth Car DT8105948P715TIL 2/01/2014 02/01/201 EaaBINEDSINGLE LIMIT 1,000,000 INJURY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccidentve $ $ A X1 UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE DTSMCUP5948P715T 2/01/2014 02/01/2015 EACH OCCURRENCE $2 000 O00 AGGREGATE s2 OOO OOO DED X RETENTION $10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE- N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) I yes. describe.nder DESCRIPTION OF OPERATIONS below N I A 4111723 2/01/2014 02/01/201 X WC STATU- OTH- To E.L. EACH ACCIDENT $1 OOO 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins 300 La Porte Avenue 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 ACORD 25 (2010/05) 1 Of 1 #S860985/M860935 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JZS This page has been left blank intentionally.