HomeMy WebLinkAbout245369 PREMIER FIRE PROTECTION INC - INSURANCE CERTIFICATE (5)1 ®
ACORD CERTIFICATE OF LIABILITY INSURANCE
.-
DATE (MM/DD/YYYY)
12/04/2018
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 have ADDITIONAL INSURED provisions or 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 Javier Perez
NAME:
PHONE (970) 356-0123 FAX (970) 330-1867
C.No Ext : A/C, NO
Flood and Peterson
E-MAIL JPerez@FloodPeterson.com
ADDRESS:
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Certain Underwriters at Lloyd's
15792
Greeley CO 80632
INSURED
INSURER B: Cincinnati Indemnity Company
23280
INSURER C : Plnnacol Assurance
41190
Premier Fire Protection, Inc.
INSURER D :
2343 West 8th Street
INSURER E :
INSURER F :
Loveland CO 80537
COVFRAnFS CERTIFICATE NUMBER: CL1812426476 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,
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDDIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
FA
�/
CLAIMS -MADE X OCCUR
A
PREMISES Ea occurrence
250,000
$
MED EXP (Any one person)
$ 5,000
PERSONAL& ADV INJURY
$ 1,000,000
FSG000175-01
12/04/2018
12/04/2019
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOPAGG
$ 2,000,000
X POLICY PRO
JECT LOC
Errors & Omissions
$ 1,000,000
OTHER:
AUTOMOBILE LIABILITY
(CEO,
OMEaaBINED SINGLE LIMITccidtl
en
$ 1,000,000
BODILY INJURY (Per person)
$
X ANYAUTO
BODILY INJURY (Per accident)
$
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AUTOS ONLY H AUTOS ONLY
ENP0162935
12/04/2018
12/04/2019
PROPERTY DAMAGE
Per accident
$
Uninsured motorist
$ 1,000,000
X
UMBRELLA LIAR
X
OCCUR
................ .....y..........
EACH OCCURRENCE
5,000,000
$
AGGREGATE
$ 5,000,000
A
EXCESS LIAB
CLAIMS -MADE
FS0000078-01
12/04/2018
12/04/2019
DED I X1 RETENTION $ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
(Mandatory in NH)
N/A
4064028
12/01/2018
12/01/2019
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
1,000,000ANY
$
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
1,000,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
B
Leased/Rented Equipment
ENP0162935
12/04/2018
12J0412019
Limit
50,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
!`CDTICI!`ATC un1 ncD CAkICFI I ATInN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
r-1
Fort Collins CO 80522-0580
(0 1933-ZU15 ACURD CUKPUHAI IUN. All ngnts reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD