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KRAUS & COMPANY JETTING INC - INSURANCE CERTIFICATE
To: 9702215296 From: Stephanie Huber 10-17-13 1:06pm p. 3 of 3 `*..� R CERTIFICATE OF LIABILITY INSURANCE `13 DATE IMMD10/17/2013 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 INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 Ileu of such endorsement(s). PRODOCEa Security First Insurance Agency 7851 S. Elati Street Suite 100 Littleton CO 80120 Stephanie J Huber PHc (303)730-2327 FAX (303)730-2930 AODREss.shuber@securityfirstia.com INSURERS AFFORDING COVERAGE NAICi INSURERAA�n.�tO OWnerS Insurance CO. 8988 INSURED Kraus 6 Company Jetting, Inc. 11125 W. 58th Ave Arvada CO 80002 INSURERB OWnerS Insurance Company 2700 INSURERC: INSURERD. INSURER E INSURERF: @Ie1VA=1:CC.1=[- A =1AiWI-f- d=1; [III I-1y:Ai41[telRM✓_dam^[atual:�;I=kvjmL•7: RPl,, t3:4:� 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MMMMDfYYYY MM ICY�V uNTS A GENERAL LIABILITY is COMMERCIPLGENERALLWBILRY 7 CLAWSMADE OCCUR 74007678 0/16/2013 O/16/2014 EACH OCCURRENCE 1,000,000 PREMISS $ 300, 000 MED EXP one rwn $ 10,000 PERSONAL a ADV N.AIRY 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE $ POLICY LIMIT APPLIES PER: PRO- CDC PRODUCTS -COMPIOP AGG $ 2,000,000 $ 8 AVTONOmILE LIABILITY AXJY AUTO ALL OWNED SCHEDULEDM SCHEDULED AUTOS AUTOS HIRED AUTOS NON-OVAIED AUTOS 657866400 1/7/2013 1/7/2014 COMBINED SINGLE L MIT Ea acaden 1,000,000 x BODILY INJURY (Per person) $ BODILY INMRY(Perecddmd) $ PROPE YOAMAGE P ,.C.&ni $ Mirsd,Lon..d $ B is UMBRELLA LNB EXCESS LNB OCCUR CLAIMSMADE 874744800 0/16/2013 0/16/2014 EACH OCCURRENCE If 2,000,000 AGGREGATE $ 2,000,000 DIED I X I RETENTIONII 10, 0OC $ A WORKERS COMPENSATION ANDEMPLOYERB'LNmILITY YIN ANY PROPRIETORFARTFFWEXECUfIVE ❑ UFHCEWM t&H FJ03UX (Man MITI NH),/1/2014E.L. Ilyyeee. dBatlbe MMN DESCRIMIDN F T NIA 4001606 /1/2013 R =712TU- OTH- E L. EACH ACCIDENT DISEASE-EAEMPLOYE i 1 000 000 E.LDIBEARE-POIICVLIMIT ! 1 600 00D DESCRI"ON OF OPERATIONS I LOCATIONS/VEHICLES Match ACORD 101, AddlVonM Remark. SelMdule, If men epue la nquind) (970)221-6296 City of Fort Collins FO Box 580 Ft. Collins, CO 80522 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 REPRESENTAr VE J Huber/SHUBER -,ij�o �.•-�•,�••, Cf /1 t-- ©1988-2010 ACORD CORPORATION. All rights reserved. IN80251N11ms)m Th. Arr)pn namA anA Nwn.,. rankfA.AH mark. M Aropn