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HomeMy WebLinkAboutBILTRITE SIGN SERVICE INC - INSURANCE CERTIFICATE-� BILTR-1 OP ID: BA ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07101 /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 CONTACT NAME: Johnstown Select Accounts PFS Insurance Group - JT PHONE 970-635-9400 FAX No : 970-635-9401 4848 Thompson Pkwy, Ste 200 A/c No, o El: Johnstown, CO 80534 E-MAIL ADDRESS: Aaron Prior INSURERS AFFORDING COVERAGE NAIC If INSURER A:ACuItV Insurance Co. 114184 INSURED Biltrite Sign Service, Inc. INSURER B : 4315 Industrial Pkwy Evans, CO 80620 INSURER C : INSURERD: Lynn Clark 4315 Industrial Parkway Evans, CO 80620 INSURER E INSURER F : rnvrDAr_cc rIFRTICIreTF KII IMRFR• RFVIRION NIIMRFR- 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. INSR "ADDLI SUB - POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE � OCCUR Z24079 06/29/2015 06/29/2016 PREMISES A GE TOEa occur RENTED $ 300,00 VIED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GEN ERAL AGGREGATE $ 3,000,00 PRODUCTS - COMP/OP AGG $ 3,000,00 POLICY PRO ❑ LOC JECT $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000 00 BODILY INJURY (Per person) _ $ A X ANY AUTO Z24079 06/29/2015 06/29/2016 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Peraccident $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,00 X AGGREGATE $ A EXCESS LIAB C_L_AIMS-MADE Z24079 06/29/2015 06/29/2016 DED X RETENTION $ None $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GtK I IFIGA I t MULUtK %,AIYI.CLLA I IVIV CITYOFC 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 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD