No preview available
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