HomeMy WebLinkAbout457049 AAA PEST PROS JAMES MARQUARDT - INSURANCE CERTIFICATE (3)1250J0
A� 0® CERTIFICATE OF LIABILITY INSURANCE
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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 pollcy(les) 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
Commercial Lines - (415) 541-7900
Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408
45 Fremont Street, Suite 800
San Francisco, CA 94105-2259
CONTACT San Francisco Certl(ICate Dept
NAME: P
PHONE I FAX
_(A&. No. E_.Ut 415-541-7900 lac, No), 866-495-4735
wo Ess: Sanfrancisco.ceds@wellsfargo.com
INSURERS) AFFORDING COVERAGE
NIUC
INSURER A: Impenum Insurance Company
35408
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INSURED �� t�T��{ `\
AAA Pest Pros James Marquardt 1lh �.J 1 \ `
PO Box 20235
Boulder CO 80308
INSURER B:
INSURER C:
INSURER D:
INSURER E :
1 INSURER F
rnVFRArFC CERTIFICATE NUMBER: 8069376 REVISION NUMBER: See below
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 TYPE OF INSURANCE ADOL SUER POLIPOLICY NUMBER MWDCY EFF OIYYYY MMIDCDIYYYY
LTR
LIMBS
A X COMMERCIAL GENERAL LIABILITY IIC GLO187201 8/18/2014 8/18/2015
EACH OCCURRENCE_
S 1,OW,WO_
DAMAGERE TONTED
100000
S 00
_
CLAIMS -MADE OCCUR
P_REMISES(E_aoccur we)
MED EXP (Any one person)
S 5.000
PERSONAL B ADV INJURY
S 1,000,000
GI AGGREGATE LIMIT "PLIES PER:
GENERAL AGGREGATE
$ 1,000,000
X POLICY EGT Lj LOC
PRODUCTS AGG
F 1000,000
$
OTHER:
COMBINED SINGLE LIMIT
S
AUTOMOBILE LIABILITY
(Ea icCldaM)___
BODILY INJURY (Per person)
S
-�
ANY AUTO
_
BODILY INJURY (Per accident)
S
ALL OWNED SCHEDULED
AUTOS AUTOS
PROPERTY DAMAGE
$
NON OWNED
HIRED AUTOS AUTOS_(Per
—_
accident)
S
UMBRELLA LAB
OCCUR
EACH OCCURRENCE
S
AGGREGATE
$
EXCESS LAB
�
CLAIMSMADE
DED I RETENTIONS
$
WORKERS COMPENSATION
PER OTH-
STATUTE ER
AND EMPLOYERS LIABILITY
YNIAE.L
NYPROPRIETOR/PARTNERXXECU11—
EACH ACCIDENT
S
FFICERIMEMRER EXCLUOEDTMandatory
In NH)
A
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT
$
yes, de Gros under
ESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional R.. M. Slow ., may W etlacMtl If man.,u a la reyulred)
Certificate holder is included as additional insured per blanket policy endorsement.
rFRTIFIrATF Nn1 nFR CANCELLATION
Financial Services
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Purchasing Division
ACCORDANCE WITH THE POLICY PROVISIONS.
215 N. Mason Street, 2nd floor
AUTHORED REPRESENTATIVE ///111
qf,-4 /
P.O. Box 580
Fort Collins CO 80522
The ACORD name and logo are registered marks of ACORD Q 196B-2014 ACORD CORPORATION. All rights reserved.
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