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HomeMy WebLinkAbout455983 ASPEN ENTERPRISES OF NORTHERN COLORADO INC - INSURANCE CERTIFICATE (3)ASPENS OP ID: DA CERTIFICATE OF LIABILITY INSURANCE DAT12123/113 YYY) 3/1 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: 970-482-7747 NAME: _ Brown & Brown Inc Fax: 970-484�155 PHONE FAX 4532 Boardwalk Dr, Suite 200 (A/c No ExtP _ A/C, Ni Fort Collins, CO 80525 E-MAIL House Account ADDRESS: INSURERS AFFORDING COVERAGE INSURER A: United Fire $ Casualty Co. INSURED Aspen Enterprises of Northern At N—(��2 504 Mail Creek Ct INSURER B: PInnacol Assurance Company Colorado, Inc. L1.0,1 1 7 INSURER C:Old Republic Surety Company 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. N TR rypE OF INSURANCE ADDLS INSIR POLICY NUMBER MMIDDY MM Y EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0 PREMISES lEa occurrence) S 100,0 A I X COMMERCIAL GENERAL LIABILITY X 60331630 01/03/14 01103/15 CLAIMS -MADE FXIOCCUR MEDEXP(My amperson) $ 6,00 PERSONAL S ADV INJURY $ 1,000,00 FGEWLGREGATE GENERAL AGGREGATE $ 2,000,00 LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 ICY PIFc R0. lOC S AUTOMOBILE L UUNLITY COMBINED SINGLE LIMIT Es acddmt BODILY INJURY (Per person) S ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ (PePROPERTY octdientlDAMAGE $ HIRED AUTOS AUTSNON-OWNED s UMBRELLA LIAS OCCUR EACH OCCURRENCE S Ll AGGREGATE S EXCESS LMB CLAIMS -MADE DEO I I RETENTIONS S WORKERS COMPENSATION WC STATtJ- OTH- TOR LIMITS ER S AND EMPLOYERS' LIABILITYI PROPRIETOFIJPARTNE EREXCLUDEOECUTIVE YIN (Mandatory in NH) MIA 038648 07/01M3 07/01/14 E.L. EACH ACCIDENT $ M00 E.L. DISEASE -FA EMPLOYE S 500,000 If 9es. descnoe under DESCRIPTION OF OPERATIONS WIM E.L. DISEASE -POLICY LIMB $ SOO, C Bond RBS0525247 01/0IM4 01/01MS Bond 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AddKlonal Remarks Schedule, if more space Is required) Janitorial Services - Poudre Fire Authority, Buildings ASB, 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 (2010/06) The ACORD name and logo are registered marks of ACORD ASPEN-4 OP ID: CERTIFICATE OF LIABILITY INSURANCE DATE(MMID) 1919111111 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 PRODUCER Phone: 970-482-77 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 97048441 Fort Collins, CO 80525 House Account United Fire & INSURED Aspen Enterprises of Northern INSURER 0: Pini Colorado, Inc. NsuRERc:OId 504 Mail Creek Ct Ft Collins, CO 80525 INSURER O: Co. 113021 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. ILTR TYPE OF INSURANCE POLICY NUMBER ID POLICY MMND/YYYY DMITB GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR X 60331630 01/03/14 01/03116 PREMISES EB ocartetw s 100,00 NEDEXP(Any "Petsdn) $ 5,00 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO s 2,000,00 POLICY PRO- LOC & AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ecddent BODILY INJURY (Per Perm) S ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per aeddem) $ NONHIREDAUTOS AUTOS (Per ocideWNED PDAMAGE $ s UMBRELLA LIAM OCCUR EACH OCCURRENCE s AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION WC STATU- OR" B AND EMPLOYERS' UABILITY ANY PROPRIETORRARTNERrXECUTIVEY OFFICERNEMBER EXCLUDED? (Myyandatory In NH) NIA 38646 07/01/13 07MM4 E.L. EACH ACCIDENT & 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 IT be under DESCRIPTIION OF OPERATIONS WIw E.L. DISEASE -POLICY LIMIT $ 500,00 C Bond RBS05210i 01101/14 01/01115 Bond 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAtteeh ACORD 101, Additlonsl Remarks Schedule, If more epaoe Is requlred) 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: I ,a►c`ofzo CERTIFICATE OF LIABILITY INSURANCE Dar12123/13YYI 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 PRODUCER Phone:970-482-7747 niAME"" Brown 8 Brown IncDr, Fax: 970-484.4165 PH - - 4532 Boardwalk Dr, Suite 200 LAIC, No EKtr _ No: Fort Collins, CO 80525 E-MAIL House Account ADDRESS: INSURE S AFFORDING COVERAGE NA INSURERA:United Fire & Casua4 Co. 13021 INSURED Aspen Enterprises of Northern INSURERS:Pinnacol Assurance Company 41190 Colorado, Inc. INSURER C:Old Republic Surety Company 40444 504 Mail Creek Ct Ft Collins, CO 80525 1 INSURER D: 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 rypE OF INSURANCE ADDL SUBA POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP M LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,0 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X 60331630 01/03/14 01/03115 PREMISES Es occurrence $ ie0,0 MED EXP (My one person) S 6,00( PERSONAL &ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ 2,000,000 s 17 POLICY F7 PRO- F7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Se accident) BODILY INJURY (Per person) 1 ANY AUTO BODILY INJURY (Par accident) $ ALL OWNED SCHEDULED AUTOS UTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Pnec ioBM $ S UMBRELLA LULB OCCUR EACH OCCURRENCE $ AGGREGATE i EXCESS LIAB CLAIMS -MADE DELI RETENTIONS I $ WORKERS COMPENSATION WC STATU- OTH- B AND EMPLOYERS' LIABILITY ANY PROPRIETORRARTNERIEXECUTIVE YIN 07/01/13 07101114 E.L. EACH ACCIDENT s 600,00( OFFICERIMEMBER EXCLUDED? Ilhndetory In NN) f1/A 7 E.L. DISEASE - EA EMPLOYE 500100( If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMB 1 500,00 C Bond ROS0526247 01M114 01101/15 Bond 10,00( DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, Additional Remarks Schedule, K 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 forma and Conditions See Notes CFRTIFICATF HOI OFR CANCELLATION CITYF10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins Purchasiong 215 N. Mason St. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 / ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD