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HomeMy WebLinkAbout245369 PREMIER FIRE PROTECTION INC - INSURANCE CERTIFICATE (4)f#ilf=,.ME C!Y111 IJN=1 JI ACORD. CERTIFICATE OF LIABILITY INSURANCE D12105/ATE ) 014 12/OS/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 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 CONTACT Rosemary Kisling Flood & Peterson Ins., Inc. PHONE Ei1: 970 266-7158 FAX aC No: 97D5D66845 P. O. BOX 578 E-MAIL Greeley, CO 80632 ADDRESS: 970 356-0123 INSURERS) AFFORDING COVERAGE NNC# INSURER A: Gotham Insurance Company INSURED INSURER B: Plnnacol Assurance Premier Fire Protection Inc. INSURERC: The Cincinnati Insurance Compan 253 SW 42nd Street, Unit D Loveland, CO 80537 INSURERO: 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. INSft LTR TYPE OF INSURANCE ADDLSUBR INSR MD POLICY NUMBER POLICY EFF MMIDO/YYYY POLICY ESP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR X BI/PDDed:5,000 X X GL2014FSC00118 12104/2014 12104/2011 EACH OCCURRENCE $1000000 PREMISES Ea RENTED $100000 MED EXP (Anyone person) $5 000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO�ECT LOC PROOUCTS-COMPIOPAGG E2,000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALLOWNED X SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS X AUTOS ENP0162935 121041201412104/201 OMaSlNeDLSINGLELIMIT 1,000,000 BODILY INJURY (Per parson) $ N BODILY INJURY (Per acdtlantl E PROPERTY DAMAGE Per acdtlant $ b A X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE X X UM2014FSC00044 12/04/2014 12/04/2015 EACH OCCURRENCE $5000000 AGGREGATE s5,000,000 DIED I X RETENTION$10000 $ B AND EMPLOYERS' LIABILITY WORKERS COMPENSATION ANY PROPRIETOR/PARTNER/EXECUTIVEY IN OFFICEMMEMBER EXCLUDED? (Mandatory In NH) If yes, desmbe under DESCRIPTION OF OPERATIONS below N/A X 4064028 12/01/2014 12101/2D1 X WC STATU- DTH- E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE S1,000,000 E.L. DISEASE -POLICY LIMIT $1000000 C A Leased/Rented Equ E&O ENP0162935 GL2014FSCO0118 2/04/20114 12/04/2014 12/04/201 q 12/04/201 $50,000 w/$1000 Ded Included DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additlonal Remarks Schedule, If more space Is required) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S954444/M954240 NAR