HomeMy WebLinkAboutWALKER MANUFACTURING CO - INSURANCE CERTIFICATE (8)ACORO®
C40 CERTIFICATE OF LIABILITY INSURANCE
DATE (MhVDILYYW)
OM0112020
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: H the certificate holder is an ADDITIONAL INSURED, the poliey(iss) must have -ADDITIONAL INSURED provisions or be endorsed.
H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may requite an endorsement A statement on
this certificate does not confer rights to the certificate holder _in.lisu of such endorsement(a)._
PRODUCER
Flood and Peterson
PO Boi(578
Greeley CO 80632
MAKE: Kely Beauvais, CIC; CISR
PHONE (970) 356-0123 FAX : (970) 330-1867
Lo L.s: kbeauvais®floodpeterson.com
INSURERS AFFORDING COVERAGE
NAIC If
INSURERA:, Twin City Fire Insurance Company
29459
INSURED
Walker Manufacturing Co.
Walker Distrubutin Company g pa Y
5925 East Harmony Road
Fort Collins CO 80528
INSURER B : Sentinel Insurance Company
11000
INSURER c.: PmnaCOl Assurance -
41190
INSURER D:- __ . .. ----
INSURER E
INSURER F :
rrnvicewccc CFGTIFICATF All 111011 Master X20ZU/2U21 REVISInN 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;
'HAVE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
BEEN REDUCED BY PAID CLAIMS.INSR _
TYPE OF INSURANCE
I
- .POLICYNUMBEii. _ _
POLICY EFF
MWOD/YY
POLICY EXP
MWDD/YY .
LIMITS
COMMERCIAL GENERAL LIABILITY
-
--
-
EACH OCCURRENCE
1,000,000
rA
CLAIMS -MADE ® OCCUR
DAMAGE TO FEW E:U
PREMISES Ea ocwrnmce
$ 300,000
MED EXP one Person)$
34ECSOF1729
09/30/2019
09/30/2020
PERSONAL B ADV INJURY
$ 1'000•000
GEN'LAGGREGATE UMITAPPUES PER:
GENERALAGGREGATE._.___.$
2.000,000
PRODUCTS-COMP/OPAGG
$ 2•000•000 -
POLICY ❑ JEa LOC
$
OTHER: $100,000 SIR
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT Ea em
eccM
$ 1 000,000
BODILY INJURY(Per person)
$
ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON=OWNED
AUTOS ONLY AUTOS ONLY
34UUNNJ0856
-
09/30(2019
09/30/2020
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE-- ---$
-Par^ - ---
- -
Uninsured motorist
$ 11000,000
UMBRELLA LIAR
-
OCCUR
.....................ENCE.....
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
A
EXCESS UAB
CLAIMS -MADE
34XSON1320
OOW2019
09/30/2020
DED
RETENTION $
$
1
C
WORKERS COMPENSATION
AND EMPLOYERS' LIiawr • Y / N
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
2270532
04/01/2020
04/01/202,
S77 TE
ERH
- - --
_ E.L. EACH ACCIDENT __
$. 500,000
E.L. DISEASE- EA EMPLOYEE
$ 500,000
E.L. DISEASE- POLICY LIMIT
$ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarke Schedule,.may be atteched It moreepeoe is required)
Certificate Holder is Additional Insured as their interests may appear regarding land leased at:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN
City Manager, City of Ft. Collins ACCORDANCE WITH THE POLICY PROVISIONS.
300 LaPorte Ave
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521 I ,rKttGs &4*4-
ACORD 25 (201 W03)
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The ACORD name and logo are registered marks of ACORD
All riehta