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HomeMy WebLinkAbout114078 FRONT RANGE FIRE PROTECTION INC - INSURANCE CERTIFICATE (8)FRONT02 OP ID: RC .4COR0 � CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 05/28/2015 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Dave Janssen CONTACT NAME: _ _ PHONE FAX A/c No Ext: ac No: E-MAIL ADDRESS: INSURERIS AFFORDING COVERAGE NAIC # INSURER A:Plnnacol Assurance Co 41190 INSURED Front Range Fire Protection, INSURER B: Everest Indemnity Ins. Company Inc' 246 Barberry Place Loveland, CO 80537-2503 INSURER C: Everest National Ins INSURER D : INSURER E : L:A 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 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. IN RI _ AD L SUB -- POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY 51GL0001672-151 06/01/2015 06/01/2016 PREMISES Ea occurrence $ 50,00 MED EXP (Any one person) $ 5,00 CLAIMS -MADE 41 OCCUR PERSONAL & ADV INJURY $ 1,000,00 X Blkt Addl & Waiy COVERAGE INCLUDED X Errors & Omission GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident_ 1,000,000 BODILY INJURY (Per person) C X ANY AUTO 51CA000095-151 06/01/2015 06/01/2016 $ BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED ; AUTOS $ $ P D ECRCTENMAGE Blkt Al_Bikt Waive $ UMBRELLA LIAB XOCCUR EACH OCCURRENCE $ 5,000,00 X AGGREGATE $ 5,000,00 B EXCESS LIAB . CLAIMS -MADE 61CC000535-151 06/01/2015 06/01/2016 DIED X RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1651212 06/01/2015 06/01/2016 X WC STATU- OTH- T RY LIMITER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYEE $ 1,000,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NfA BLANKET WAIVER OF SUBRO E.L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below $ 1,000,00 C Installation Float 51ML000116-151 06/01/2015 06/01/2016 Limit 50,00 Deductibl 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) All Operations - All Locations CITYOFC L91I C Pl A 1111 L•75LVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD