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Home My WebLink About458840 C & S SPECIALTY SYSTEMS INC - INSURANCE CERTIFICATE (10)A`� h® CERTIFICATE OF LIABILITY INSURANCE 2/5/2ois YY, 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 Me certificate holder Is an ADDITIONAL INSURED, the policy(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 an this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER COlOY8d0 EN InellranCe Agency, Inc. NgMTA T John MCOrS PRONE (gOH)QSS-$$QT UUCFAX .130314 'O's 12000 North Washington 6.MAIL .johna.aoora@ba»ko£thaweat. cm Suits 300 INSURE s AFFORDING COVERAGE NAICt INSURERA:Scottsdale Ins CO _ Thornton CO 80241 INSURED INSURERB:State Auto Insurance Companies INSURUC:Pinnacol Asauranoe 41190 C S S Specialty Systems Inc IxsuRER D: 5609 W 6th AVG., Unit B INSURER E: INSURER I ' Lakewood CO 80214 COVFRArFS CFRMFICATENUMREP-15-16 TIC GL UNIS 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. NOTVOTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH 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. TTPE OP IXBUMNCE N R POLICY EFF POLI YUP pMITd GENERAL L MRUT'f EACHOCCURRENCE 3 1,000,000 P 6 100,000 A X COMMERCIAL GENERAL LABILITY OLAIM6lMDE © OCCUR P82131866 /8/2015 /8/2016 MEDEXP a 5,000 PERSONAL A Aber INJURY 3 1,000,000 X Professional L1ab111ty 1,000,000 GENERAL AGGREGATE s 2,000,000 G 1 AGGREWTE LIMIT APPLIES PER. PRODUCTS-COMPIOPADG. E Include E POLICY X PRO LOC AUTOMOBRELIABILIW M SINGLE LIMIT1,000,000 3 B X ANY AUTO ALL OWNED SCHEDULED AUTOS W222069306 /1/2014 /1/2015 BODILY INJURY (Per pnm) BODILY INJURY (Per soneve) 3 PROP R DpMA (Per derri r NO POWNED HIREDAUTOS AUTOS s 1 000 000 DO U....Moer 9le In lmd X Ua... LIAR X DCCUR EACH OCCURRENCE 6 4,000,000 AGGREGATE S 4,000,000 A E[CEBS LWB LLAIMS IMDE DED I X I RETENTIONS s MS0048097 /8/2015 /812026 C WORNERScOMPBNSATON AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/E%ECU'N,E X WC STAR- OTH- EL EACH ACCIDENT 3 1,000,00 OFFIOERMEMBER UCWOED9 (MUMMory In NH) NIA 163]B2 /1/2013 /1/2016 EL DISEASE- EO EMPLOYE r 1 000 coo Iryn Eeaoib urcer DESCRIPTION OF OPERATORS nNw EL DISEASE -POLICY LIMIT B 1 o0O O 0 B Contractors Equipment PP246629605 /1/201E /1/2015 Emn:fw,m0 DESCRIPTION OF OPERATONs /LOCATION$ / VBHICLEB Fusel, ACORD 101, AEENIonM FAMUS SoN UN. N Mm apace Is nqulrWl City of Fort Collins P.O. 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. INS026(201003)01 The ACORD name and logo are registered marks of ACORD