HomeMy WebLinkAboutAMERICAN SPRINKLER INC - INSURANCE CERTIFICATE (3)ClinntY67903 AMESP
ACORD. CERTIFICATE OF LIABILITY INSURANCE 01/30/2015
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: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 certi0cata does not confer rights to the
certificate holder in lieu of such endomement(s).
PRODUCER
Flood 8 Peterson Ins., Inc.
P.O. Box 578
Greeley, CO 80632
970 356-0123
EACT Jennifer Winter
PHONE 970 5063206 xa; 970 506-6846
AIC�a i5R1:
wu L . JWinter@Roodpaterson.com
IN811flE a AFFowlne covaRAoc
NANe
INWRaRA: Charter Oak Firebut uranu
25615
INSURED
INSURER 8: TMVSIBra Property Casualty Co.
25674
American Sprinkler, Inc.
INWRORC: Phoenix Insurance Company
25023
14583 N. Meadow Woods Street
Brighton, CO 80603
INSURER D:
INWRea 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.
VTR
WINE OF INSURANCE
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pOYCY NUMBER
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GENERAL LUBIUW
X COMMERCIALGENERALLIF°RITY
CLAIMSIMDE OOCCUR
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DTC0594BP715COF15
Z(011201502JO11201
EACH OCCURRENCE
$1000000
RMIMME—OFBI$309000
MED FXP
$5000
PERSONALaADVINJURY
$1000000
GENERPLACOREGATE
$2000000
GEH'L AGGREGATE
PoLICY
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X PRMET O- LOC
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$2000000
$
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ANY PNQNaETORNARTNERIEXECUTNEO
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$1000000
E.LNSPABE-EFEMFlOYEE
$1009000
E.L. DISEASE - POLICY LIMIT
$1000000
DESCRIPTION OF OPERATIONSI LOCATIONS I WHICLES VUU. ACORD 101, Addit.1 RmuMe 8ulmduln, N man epee. Impute.)
City of Fort Collins SHOTHELD ANY EXPIRATTIF THE ION DATE VTHEREOF,E NOTICEES BE WILL BE CANCELLED BEFORE DELIVERED N
300 LB Porte Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80521
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S968871/M968853 JZS