HomeMy WebLinkAbout117101 VISION GRAPHICS INC - INSURANCE CERTIFICATE (8)VISIGRA-01 TAYLORJE
ACOIeO' 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 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
Willis of Wyoming, Inc.
c/o 26 Cantu rfyy Blvd
P.O. Box 305191
Nashville, TN 37230-5191
CONTACT
NAME' certificates@willis.com
PHONE g77 945-7378 FAX
aC No,EsU: ( ) A/c He): (888) 467-2378
E41AIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIL p
INSURER A: Fireman's Fund Insurance Company
21873
INSURED 1�1 1 O t
1
INSURER a; American Insurance Company
21857
INSURER C:Pinnacol Assurance Company
41190
Vision Graphics, Inc. 1 1
Keyline Graphics, Inc.
5610 Boeing Dr
INSURER D:
Loveland, CO 80538
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 CONTRACTOR 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
rypE OF
ADOL
UBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DDNYYY
UNITS
A
X
COMMERCIAL GENERAL LWBRJTY
CLAIMS -MADE T OCCUR
AS6AZC80878302
7/1912014
7/19/2015
EACH OCCURRENCE
$ 2,000,00
PREMISES JEaec rrence
$ 100,00
MED EXP (Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ Included
GEN'L AGGREGATE LIMIT APPLIES PER:
O
X POLICY PRO ❑ LOC
OTHER:
GENERAL AGGREGATE
$ 4,000,00
PRODUCTS - COMPIOPAGG
$ Included
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON OMED
HIRED AUTOS AUTOS
AS6MZA80292557
7/19/2014
7/19/2015
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,00
X
BODILY INJURY (Per Person)
$
BODILY INJURY (Peramident)
$
PROPERTY DAMAGE
Per acculeM
$
$
A
UMBRELLA UAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
AS6AZC80878302
7/19/2014
7/19/2015
EACH OCCURRENCE
$ 5,000,00
AGGREGATE
$ 5,000,00
DED RETENTION$
$
C
WORKERS COMPENSATION
ANDEMPLOYERTLMBIUTY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
K yes, DESCRIPTION OF ibe IPERATIONS below
NIA
4126280
7/1/2014
7/1/2015
X PER OTH-
STATUTE ER
EL EACH ACCIDENT
$ 1,000,00
E. L. DISEASEEAEMPLOYEE
$ 1,000,00
El DISEASE -POLICY LIMIT
$ 1,000,00
A
Building Property
AS6AZC80878302
7/19/2014
7/19/2015
Ded $5,000/1-imit: 7,400,00
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required)
City of Fort Collins
Purchasing Division
PO Box 580
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
U 1 VUb-ZU14 ACOKU CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD