The URL can be used to link to this page

Home My WebLink About102408 PIONEER PRESS OF GREELEY INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE M DATE(MMIDDIYYYY) 08/12/2013 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 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 L\ Loveland, CO 80538 Q CONTACT NAME: Karole Peters FAX ac°Nrm E.t:970.679.7355 11,Ne;866.237.2178 AoDRESS: karole-peters@leavitt.com INSURER(S) AFFORDING COVERAGE NAICN INSURER A: State Auto Insurance Companies 25127 INSURED Pioneer Press of Greeley, Inc. 2965 27th Ave. Greeley, CO 80631 INSURER : Pinnacol Assurance 41190 INSURER c: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 13-14 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 TYPE OF INSURANCE INSR WVDADDLISILM" POUCY NUMBER POLICY EFF MMMDNYYY POLICY EXP MM/DDNM LIMITS A GENERAL UABIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Blkt Addl Insured PBP 2626280 01 07/0112013 07/0112014 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,00 X Blkt Waiver of Sub GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY IRO- JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS NAUTOS BAP 2352336 0 10710112013 07/01/2014 (Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X Per accident $ 8 A X UMBRELLA LIAB EXCESS LIAB I X I OCCUR CLAIMS -MADE PBP 2626280 01 07/0112013 07/0112014 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,000 DIED I X I RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE� I� OFFICER/MEMBER EXCLUDED? u (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 405497 07/01/513 07/0112014 X TORV LIMITS ER E.L. EACH ACCIDENT $ S00, 0O E.L. DISEASE -G EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,OQ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space Is required) ity of Fort Collins is named Additional Insured on the General Liability policy per written agreement. City of Fort Collins Purchasing Division 215 North Mason 2nd Floor Fort Collins, CO 8OS24 VXIY{,CLLNI IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE Karole 1988-2010 ACORD ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD