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245369 PREMIER FIRE PROTECTION INC - INSURANCE CERTIFICATE (3)
Client#: 44470 PREFI ACORD. CERTIFICATE OF LIABILITY INSURANCE D12/122013ATE YY) 12N2/2013 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(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. P. O. Box 578 Greeley, CO 80632 970 356-0123 NA jTACT Rosemary Kisling NNcoNN; . 970.266-7158 ,� Na: 970.50"845 EH L - ADDREss: INSURER(5)AFFORDING COVERAGE NNCe INSURER A: Gotham Insurance Company 25569 INSURED Premier Fire Protection Inc. A�t �[Q INSURERS: Plnnacol Assurance 10677 INSURERC: The Cincinnati Insurance Compan 630 West 1st Street .2 J V I Loveland, CO 80537 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 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. INSR LTR TYPE OF INSURANCE ADDL SUOR III POLICY NUMBER POLICY EFF WO POD EXP MIND LIMA A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADE FX] OCCUR X BVPD Ded:5,000 GL2013FSCOO118 7JO4/2013 12104/2014 EACH OCCURRENCE $1,000,000 PREMISES Eel er,p $100 00O MED EXP (Anone pareon) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2 OOO,OOO GENL AGGREGATE POLICY LIMIT APPLIES PER: PRO, LOC PRODUCTS - COMP/OP AGO s2 000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS EAUTOS HIRED AUTOS X NON -OWNED AUTOS IX ENP0162935 12/04/2013 12/04/20114 COMBINED 51NGLE LIMIT Ea aWd.nt 1,000,000 BODILY INJURY(Parperam) $ BODILY INJURY (Per accident) E PROPERTY -DAMAGE Par accident $ i A X UMBRELLA LIAR EXCESS LUU3 X OCCUR CLNMSMADE UM2013FSC00044 2ION2013 12/04/201 EACH OCCURRENCE s5 000 000 AGGREGATE $5 00O 000 LIED I X RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS -LIABILITY ANY PROPRIETOR/PARTNERFJ(ECUTIVE YIN OFFICER(MEMBER EXCLUDED7 (Mandatory In NH) I ye., describe under DESCRIPTION OF OPERATIONS beipw NIA 4064026 -y0112013 12/01%201 X WC STATU' OTH- E.L EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE S1.000.000 E.L. DISEASE -POLICY LIMIT $1000000 A E&O GL2013FSC00116 2/0412013 121`0412014 Included DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CityOf Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD RCRdSG94/MRdRR7] KXM