HomeMy WebLinkAboutKRAUS & COMPANY JETTING INC - INSURANCE CERTIFICATE (2)To: 9702216296 Frw Stephanie Huber 12-16-13 12:01pai p. 2 of 2
acoRo CERTIFICATE OF LIABILITY INSURANCE
DATE IMMI
12/16/2013)
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(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 lieu of such endorsement(s).
PRODUCER
Stephanie J Huber
Security First Insurance Agency
7851 S. Elati Street
PHONE (303)730-2327 FAX (3031730-2930
AODREss: shuber@securityfirstia.com
Suite 100
Littleton CO 80120
INSURI AFFORDING COVERAGE
NAILS
INSURERAAuto Owners Insurance Co.
18988
INSURED
INSIRERBOwnerB Insurance Coupany
32700
Kraus & Company Jetting, Inc.
INSURER C:
11125 W. 58th Ave
INSURER O'
INSURERS'
Arvada CO 80002
INSURERF:
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,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
POLICYNUMI
MM/LDIDANYY
rMMD UCYYYPY
LIMIT$
A
GENERAL 11ABILIT'
X COMMERCIAL GENERAL LABILITY
CLAIMS4IADE 7X OCCUR
74007678
0/16/2013
0/16/2014
EACH OCCURRENCE
IS 1,000,000
PREMISESIS
300,000
MED ERP(My one person)
$ 10,000
PERSONAL B ADV IN.UR Y
S 1,000,000
GENERAL AGGREGATE
IF 2,000,000
GENL AGGREGATE
X POLICY
LIMIT APPLIES PER:
7 '0 LOC
PRODUCTS - COMPNP AGO
IS 2,000,000
$
B
AUTOMOBILE
X
I
LIABILITY
ANYAUTO
ALL ONNED X SCHEDULED
AUTOS AUTOS
VN
HIREDAUTOS X AUTOSE0
657866400
1/7/2013
1/7/2014
COMBINED
adapt SINGLELIMIT
1,000,000
BODILY INJURY Forperson)
$
BODILY INJURY(Parapdden0
$
P° sDAMAGE o.dent
$
HimGbarl
$
H
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
CLAIMS,NIADE
9874744800
0/16/2013
0/26/2014
EACH OCCURRENCE
$ 2, 000, 000
AGGREGATE
$ 2,000,000
DIED I X I RETENTION S 10, 0 oa
$
A
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANY PROIMEMEER�PKCUUOEIEXECUTIVE
OFFICE ory In ER EXCLlAED7
NH)
(t yes,
R yes, deecrloe under
DESCRIPTION OF OPERATIONS EeIaw
NIA
4007606
/1/2014
/1/2015
X WC STATU- OTH-
1,1t HAI:UIUtNI
$ 1 000 000
EL. DISEASE - EAEMPLOYE
$ 1 DOD DDD
EL OISFJ.SE- POLICY LIMIT
It 1.000.000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Afton ACORU 101. Addition el Remarks ScHe dule, IT more opus IF "hal)
(970)221-6296
City of Fort Collins
PO 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 REPRESENTATIVE
J Huber/SHUBER«
INS075 , -, Thr APffOn name anH Imp am mnlelnmel mne4n M Afr1Rn
To: 9702216296
From: Stephanie Huber 12-16-13 12:01pm p. 1 of 2
Fax
Date: 12/16/2013
To: 9702216296
From: Stephanie Huber
Subject: Cert Holder
Thank you,
-Stephanie
Stephanie Huber, CISR I Account Manager I Security First Insurance Agency 1 7851 S.
Elati St., Ste 100, Littleton CO 80120
*: 303.730.2327 1 7: 303.730.2930 1 *:
shuber@securityfirstia.com<maiIto: shuber@securityfirstia.com>
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previous e-mail messages attached to it, may contain confidential information that is
privileged. If you are not the intended recipient, or a person responsible for delivering it
to the intended recipient, you are hereby notified that any disclosure, copying,
distribution or use of the information contained in or attached to this message is
STRICTLY PROHIBITED. If you have received this transmission in error, please
immediately notify us by reply e-mail at
Dean @SecurityFirstia.com<maiIto: Dean@SecurityFirstia.com> or by telephone at (303)
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