HomeMy WebLinkAboutWALKER MANUFACTURING CO - INSURANCE CERTIFICATE (5)r:linntrr• 2nR51
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ACORD. CERTIFICATE OF LIABILITY INSURANCE
D091242014AM YY)
os/24/2o1a
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(lea) must be endorsed. U 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
Flood & Peterson Ins., Inc.
P. O. Box 578
Greeley, CO 80632
970 356-0123
NAME: Kelly Beauvais
Puc NHONEo Es 970 266-7121 A C Na : 970 506-0846
ADDRESS: KBeauvais@floodpeterson.com
INSURERS AFFORDING COVERAGE
"Co
INSURER A: The Hartford Insurance
INSURED
Walker Manufacturing Co.
5925 East Harmony Road
Fort Collins, CO 80528
INSURER B: Plnnacol Assurance
INSURERC:
INSURERD:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEj30
INSR
TYPE OF INSURANCE
D
SUB
POLICY NUMBER
POLICY EFF
MMIDD
POLICY UPDMRLTR
MM/DDA
dTHIS
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CWMS-MADE OCCUR
34ECSOF1729
9/30/2014
09/30/201
EEAACCHH OECiCURRqRENCE
PREMISEocalDrence
MED EXP(My we person)
PERSONAL B ADV INJURY
$1000000
X
$100,000 SIR
GENERAL AGGREGATE
$2 000,000
GEN'L AGGREGATE
X POLICY
LIMIT APPLIES PER:
PR0. LOCI
JECT
PRODUCTS - COMP/OP AGG
f2000,000
$
A
POMOSIUEUABIUFTY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
34UUNNJ0856
9/30/2014
09/30/201
CEOdeBIINNEeDSINGLELIMIT$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
Peraccidenl
$
f
UMBRELLA LWB
EXCESS LIAR
OCCUR
CWM�E
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION$
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LUSILRY
OFFICEWMEMBER EXCCLUDED?ECUTIVE�
(Mandatory In NH)
It yes, desaitie under
DESCRIPTION OF OPERATIONS hebw
NIA
2270632
4/O1/2014
04lO1/2O1
X WC STATIL OTIf
E.L. EACH ACCIDENT
$SOO OOO
E.L. DISEASE - EA EMPLOYEE
$500000
E.L. DISEASE -POLICY LIMIT
$500000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AeacN ACORD 101, AEENIonal Ranar$s Schedule, N man space M required)
Certificate Holder is Additional Insured as their Interests may appear
regarding land leased at:
Loc# 2 - 5244 Cessna Drive; Loveland, CO
City Manager
City of Ft. Collins
300 LaPorte Avenue
Fort Collins, CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
REPRESENTATIVE
®1988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
1LS937219/M937215 KI R