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HomeMy WebLinkAbout493216 CLASSIC CONTRACTORS INC - INSURANCE CERTIFICATE (4)CLASS06 OP ID: R6 Acorzo CERTIFICATE OF LIABILITY INSURANCE DATE VY) �i 7 /201 03/07/2014 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(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 Phone: 727-447-6481 CONTACT NAME: BOUC hard-GlealWdter Fax: 727-449-1267 PHONE I., 101 Starcrest Drive U: E41AIL P O Box 6090 s Clearwater, FL 33758-6090 Bouchard Insurance INSURERS AFFORDING COVERAGE NAICa INSURER A:ABsociation Insurance Company 11240 INSURED Classic Contractors Inc INSURER B:Travelers Insurance Company 87726 INSURERC: KariSmidt �////�216 POBox 2798 Loveland, CO 80639 INSURER D: INSURER E: rnvcoancc rFRTIFIr&TF MIiMRFR- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF NSURANCE LISTED BELOW HAVE SEEN 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. IN$R TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY E%P LIMITS GENERAL LABILITY EACH OCCURRENCE $ 1,000, PREMISES Ea.ftl,1ce s 300, A X COMMERCIAL GENERAL UABILITY X 014501501 03I11/2014 03/11/2015 MED E%P (My one peman) $ 10,00( CLAIMS -MADE [A] OCCUR PERSONAL& ADV INJURY $ 1,000,00 X HNON $1M GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S 2,000,00 S 7POLICY PIECTRO- LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY a acUMn1 BODILY INJURY (Per pmson) $ ANY AUTO BODILY INJURY IPefarrldan0 $ ALLOWNED SCHEDULED AUTOS AUTOS NCN-OWNED HIREDAUTOS AUTOS Per Dent $ s UMBREIIA LIl18 X OCCUR EACH OCCURRENCE $ 1,000, TX AGGREGATE $ 1,000,00 B X UCESSUAB DwUs-MADE 014501601 03I1112014 03111l2015 LIED I X I RETI N 10000 1 s WORKERS COMPENSATION W STATU- YLIMITS OT'I• ANDEMPLOYERVUABNTY ANYPROPRETOR/PMTNEwMCUTVE YIN OFFICERAEMBER EXCWDED9 (MaMatory In NH) NIA E.L. EACH ACCDENT s E.L. DISEASE -EA EMPLOYE s 1 E.L. DISEASE -POLICY LNIT 1 $ tt.en daw;ntw,�mer I DESCRIP110NOFOPERATIONSW. I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Aaach ACORD 101, Additional Remmks Schedule, If more space Is reRulled) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY, ONLY IF REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO THE TERMS, CONDITIONS, AND LIMITS AS SPECIFIED IN THE POLICY. RE: 7544 OLD TOWN PARKING GARAGE CANOPY un, nco rANCFi I ATIr)m 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 PO BOX 580 FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE Bouchard Insurance ©1988-2010 ACORD CORPORATION. All rights reservea. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD