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HomeMy WebLinkAbout114078 FRONT RANGE FIRE PROTECTION - INSURANCE CERTIFICATEFRONT02 OP ID: RC
,a►co/ZO CERTIFICATE OF LIABILITY INSURANCE
5/224
D05122//2 Y014
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 endorsements .
PRODUCER
PFS Insurance Group - JT
4848 Thompson Pkwy, Ste 200
Johnstown, CO 80534
Dave Janssen
CONTACT
NAME:
PHONE FAX
AID. N0 EMI, AIL No):
EJAAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC d
INSURER A: PInnacol Assurance Co
41190
INSURED Front Range Fire Protection,
INSURER 8: Everest Indemnity Ins. Company
Inc'
246 Barberry Place
INSURER C: Everest National Ins
Loveland, CO 80537-2503
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 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
ADDL
SUB
POLICY NUMBER
EFF
MM/DDPOLICV/YYYY
V EXP
MMIOO/VYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,00
B
X COMMERCIAL GENERAL LIABILITY
51GL0001672.141
06/01/2014
06/01/2016
DAMA GET RENTED
Eaoccunence PREMISES
$ 50,00
CLAIMS -MADE 7X OCCUR
MED EXP (Any one person)
$ 5,00
PERSONAL & ADV INJURY
$ 1,000,00
X Blkt Add'I & Waiv
X
Errors & Omission
GENERAL AGGREGATE
$ 2,000,00
COVERAGE INCLUDED
GENE AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$ 2,000,00
POLICY X PRO- F LOC
$
AUTOMOBILE LIABILITY
CEaOMBINED SINGLE LIMIT
accident
$ 1,000,00
BODILY INJURY (Per person)
$
C
X ANY AUTO
51 CA000095-141
06/01/2014
06/01/2015
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
8
PROPERTY DAMAGE
PER ACCIDENT
$
X HIRED AUTOS X NON -OWNED
AUTOS
$
BlktAI BlktWaive
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
$ 5,000,00
X
AGGREGATE
$ 5,000,00
B
EXCESS LAB
CLAIMS -MADE
51CC000535-141
06/01/2014
06/01/2015
DED X RETENTION$ 10000
$
A
WORKERS COMPENSATION
ANDEMPLOVERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE V/N
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
1651212
BLANKET WAIVER OF SUBRO
06/01/2014
06/01/2015
X WC STATU- OTH-
T RV LIMIT ER
E.L.EACHACCIDENT
$ 1,000,00
E.L. DISEASE -EA EMPLOYEE
PLIMIT
$ 1,000,00
It yes describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE-EAE
$ 1,000,00
C
Installation Float
61ML000116141
06/01/2014
06/01/2015
Limit 60,00
Deductibl 1,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if men space Is required)
All Operations - All Locations
CITYOFC
City of Fort Collins
PO Box 580
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
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD