HomeMy WebLinkAbout114078 FRONT RANGE FIRE PROTECTION INC - INSURANCE CERTIFICATE (6)ACORL7® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
05/30/2019
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 Dana Stewart, CISR, CIC
NAME:
Flood and Peterson
PHONE (970) 266-7149 FAX (970) 506-6845
A!C No Ext : A!C No):
E-MAIL Dstewart@floodpeterson.com
ADDRESS:
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Everest Indemnity Insurance Co.
10851
Greeley CO 80632
INSURED
INSURER B : Everest Denali Insurance Company
16044
Front Range Fire Protection, Inc.
INSURER C : Pinnacol Assurance
41190
INSURER D :
246 Barberry Place
INSURER E :
INSURER F :
Loveland CO 80537
COVERAGES CERTIFICATE NUMBER: GL/AU/XSlWC x6/2020 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.
1 TR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDDPOLICY EFF
POLICY EXP
MM DD/Y YY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
5 1,000,000
CLAIMS -MADE ®OCCUR
DAMAGE TO RENTE5__
PREMISES Ea occurrence
$ 50,000
MED EXP (Any one person)
5 5,000
PERSONAL & ADV INJURY
S 1,000,000
A
51GLOO1672-191
06/01/2019
06/01/2020
GEN'L AGGREGATE LIMIT APPLIES PER'
GENERAL AGGREGATE
$ 2,000,000
POLICY ® JETPO- LOC
PRODUCTS -COMPIOPAGG
S 2,000,000
$
OTHER.
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
5 1,000,000
BODILY INJURY (Per person)
S
ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
51CAD00028-191
06/01/2019
06/01/2020
BODILY INJURY (Per accident)
5
PROPERTY DAMAGE
Per accident
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
S 5,000,000
A
EXCESS LIAB
CLAIMS -MADE
51 CC000535-191
06/01/2019
06/01/2020
DED I X RETENTION S 10,000
5
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIR/PARTNER/EXECUTIVE
OFFICER(MEMBMBER EXCLUDED? EY
(Mandatory In NH)
N/A
1651212
06/01/2019
06/01/2020
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
if yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
$
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
All Operations -All Locations
L711919301W11 I L91.
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---{--
Fort Collins CO 80522
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD