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HomeMy WebLinkAbout102408 PIONEER PRESS OF GREELEY INC - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE LN DATE /D 014 06/30/2014) 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Karole Peters Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. " NOEat:970.679.73SS A,DFAX,Ne;866.237.2178 AONESs: karole-peters@leavitt.com Suite 100 INSURERS) AFFORDING COVERAGE NAICN Loveland, CO 80538 INSURERA: State Auto Insurance Companies 25127 INSURED Pioneer Press of Greeley, Inc. INSURER B: PTnnacol Assurance 41190 2965 27th Ave. INSURERC: Greeley, CO 80631 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 14-15 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY POLICYEXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Blkt Addl Insured PBP 2626280 02 07/0112014 07/01/2015 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY S 1,000,000 X Blkt Waiver of Sub GENERAL AGGREGATE S 2,000,00 GEITL AGGREGATE LIMIT APPLIES PER: POLICY PRO- X LOC JECT PRODUCTS-COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS N AUTOS BAP 2352336 0207/01/2014 07/0112015 Eaaeeldent $ 1,000, 00 X BODILY INJURY(Per person) _ $ BODIL IINJURY(Per accident) $ X Per accident $ A j( UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE PBP 2626280 02 07/0112014 07/01/2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DIED X I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEMBER EXCLUDED PROPRIETORIPARTNER/EXECUTNfj� (Mandatory In NH) u If y describe under DESCRIPTION OF OPERATIONS below NIA 405497 1711112014 07/01/2015 X W TORY LIMIT$ I I ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ S00, 00 E.L. DISEASE -POLICY LIMIT $ 500, oO DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addlflonal Remarks Schedule, If mwe apace Is reeuhad) ity of Fort Collins is named Additional Insured on the General Liability policy per written agreement. $ am I Irv.m I C MULUCR City of Fort Collins Purchasing Division 215 North Mason 2nd Floor Fort Collins, CO 8OS24 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 reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD