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