HomeMy WebLinkAbout123807 PROFESSIONAL FINANCE COMPANY - INSURANCE CERTIFICATEPROFE04 OP ID: DP
,4cosz1 CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
12/18/2014
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 endorsements .
PRODUCER
Rich & Cartmill Ins of CO
of Colorado LLC
8213 W. 20th Street _ -
Greeley, CO 80634
Michael J Schmitt CIC
CONTACT ,
NAME:
PHONE FAX
INC. N.—En); (ativvu� r±e):
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC N
INSURER A: Pinnacol Assurance
INSURED Professional Finance Company
INSURER B: Indian Harbor Ins Co
5754 W 11 th Street#100
Greeley, CO 80634
INSURER C:
INSURER D
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 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.
EXP
INSR ADOL TYPE OF INSURANCE SUB POLICY NUMBER MM%DDNYYY MMIDD/EE PLICYYYYY LIMITS
LTR
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
DAMA TURENTEO
PREMISES (Ea occurrence)_
$
CLAIMS -WOE ❑OCCUR
MED EXP(Any one person)
$
PERSONAL & ADV INJURY
$ _
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$
-
$JFCT
POLICY 7 PRO- LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT _
Fe acclden) _
_$
BODILY INJURY (Per person)
$
ANY AUTO _
BODILY INJURY (Per accidenp
S
ALL OWNED SCHEDULED
AUTOS AUTOS
PROPERTY
P RPACCIDEW-U
—
$
HIRED AUTOS NON -OWNED
8
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
_
AGGREGATE
$
EXCESS LIAB
CLAIMS MADE
DED RETENTION$
I $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED'NIA
(Mandatory in NH)
4131013
0110112015
01101/2016
X WC STATU- OTH-
T RY LM(T; -ER-
EL EACH ACCIDENT
$ 100,00
EL DISEASE - EA EMPLOYEE
$ 100,00
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.1. DISEASE - POLICY LIMIT
$ 600,00
B
E & O
MPP004078901
051/112014
01101/2016
Agg limit 2,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1111, Additional RemaAs Schedule, if more space is required)
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORRED REPRESENTATIVE
Michael J Schmitt CIC
U 1 BBB•ZUI U AUUKU UUKPVKA I IUN. All rlgnts reserVeo.
ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD