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HomeMy WebLinkAbout159569 PS INSTALLATIONS INC - INSURANCE CERTIFICATE (3)ACOROr DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/15/2014 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 terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the Co -Pro Group Inc. NAME: 4 West Dry Creek Circle,-#200 200 OT a°No Ex (720) 266-6191 AIC NG:003) 730AX —1024 ADDRESS:georgeg767@gmail. com Littleton, CO. 80120 -' i 1 /e INSURERIS) AFFORDING COVERAGE NAICN INSURED PS INSTALLATIONS, INC. AND INSURER B: SHELF IMAGE INC INSURER C: 3857 STEELE ST UNIT C NSURER D: DENVER, CO 80205 INSURER E 303-297-2030 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. ILIM TYPE OF INSURANCE INSR MD POLICY NUMBER MWDDNYYY MMLDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LABILITY CLAIMS -MADE ® OCCUR PREMISES Ea oxuGenca $ 100 000 MED EXP(Am, one Parson) $ 10,000 A X Y BKS 55562009 08/17/14 08/17/15 PERSONAL$ADV INJURY $ 1,000,000 GENERAL AGGREGATE s 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 7 POLICY X PRO-- ECT LOC S AUTOMOBILE LIABILITY Ea 6INULE LIMIT ..dMWN�ent s 1,000,000 X BODILY INJURY (Per person) BODILY INJURY (Per accident) $ $ A ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS ]{ NON -OWNED AUTOS - BA8867677 08/17/14 08/17/15 - X X Per accident) $ $ X SPECIFIED A UMBRELLA LIAR EXCESS LIAR OCCUR OCCUR CLAIMS -MADE USO 55562009 08/17/14 08/17/15 EACH OCCURRENCE AGGREGATE s 5,000,000 s 5,000,000 DED I X I RETENTION$ 10 000 $ 1 WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY YIN ANY PROPRIETO"ARTNERIFXECUm ❑ OFFICER EMBER E CWDECi NIA WC STATU- OTH- T RV LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ IMenMory In NN) If ye; describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A CARGO COVERAGE BKS 55562009 08/17/14 08/17/15 $500,000 PER LOAD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CITY OF FT COLLINS, IT'S OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED CITY OF FT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 NORTH MASON THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FT COLLINS, CO 80524 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHO E REPRESENTATIVE © I G8 - D'iO ACORD O PORA"i ION. All rI s reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of RD ,14AUG 22 9:12w