Loading...
HomeMy WebLinkAbout117101 VISION GRAPHICS INC - INSURANCE CERTIFICATE (8)VISIGRA-01 TAYLORJE ACOIeO' CERTIFICATE OF LIABILITY INSURANCE `-� DATn16/2o14 D 1s/z 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