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Home My WebLink AboutFARQUHAR MASONRY - INSURANCE CERTIFICATE (2)FARQU-1 OF ID: I A`ORO CERTIFICATE OF LIABILITY INSURANCE D03110/201 YV) 03110/2014 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(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 PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Johnstown Select Accounts INSURED Farquhar Masonry Peter Farquhar 900 W. Prospect Rd. Ft. Collins, CO 80526 COVERAGES CERTIFICATE NUMBER: I FAX (AIC,Nol INaUREPI AFFORDING COVERAGE NA A: Pinnacol Assurance Co 41190 B: Hartford Insurance Co. 29424 c:American States Ins. Company 19704 D: E: F: 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 INSURANCEJIM POLICY NUMBER POLICY Err PWDDY P ITS GENERAL LIABILITY EACH OCCURRENCE S 1,000A PREMISES Es acwrn,I S 100+ B X COMMERCIAL GENERAL LIABILITY 3456APJBIOB 06/06/2013 06/06/2014 MED EXP (Any one paean) S 10,00( CLAIMS -MADE Al OCCUR PERSONAL SADV INJURY S 1,000,00( GENERAL AGGREGATE f 2.000,00( GENL AGGREGATE LIMIT APPLIES PEP, PRODUCTS-COMP/OP AGG S 2,000,0011 S POLICY PRO- MLOC AUTOMOBILE LIIIBILRY COMBINED SINGLE LIMIT e accaenl 1,000, BODILY INJURY (Per perean) f C ANY AUTO 24CCM9232 05/02/2013 05/02=14 BODILY INJURY (Per acddent) S ALL OWNED SCHEDULED H RTED AUTOS OS X AUTOS ON -OWNED H AUTOSPER ACCIDEII UA-MAGE f f UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE f EXCESS DAB CWMSMADE DELI RETENTIONS I f I WORKERS COMPENSATION X I WC STATU- OTH- IT UM TS A AND EMPLOYERS' LIABILITY ANY D?ECUTIVE YIN 04MI12014 04/01/2015 E.L. EACH ACCIDENT f 600,00 OFFICECPRIE EREXCLUD (Mandatory in NH) MIA407111 E.L. DISEASE - EA EMPLO S 500,00 E.L. DISEASE - POLICY LIMIT $ 500,0 If yes, desalbe under DESCRIPTION OF OPERATIONS balm B Installation 34SBAPJBIOB 06IM2013 OWM2014 Install. 20,0010 Floater Floater DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ameb ACORD 101, Additional Ron erke fetwdale, N mora apaee in ryNlreq Project: Parking Permit If required by written contract or written agreement, the certificate holder is included as additional insured for ongoing operations under general liability. CTYFTCI City of Fort Collins Front Desk 215 N. Mason Street Fort 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 V 1915e-ZUTU AI ICD wnrUKA I IUN. AU rlgnTS reserVeO. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD