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HomeMy WebLinkAboutWILLIAM J WARREN AND SON LLC DBA NATIONAL - INSURANCE CERTIFICATE�® CERTIFICATE OF LIABILITY INSURANCE 7/2i2015YY) 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 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland CO 80538 CONTACT CL Central NAME: PHONE (970) 679-7333 ac No: (866)956-4265 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER AmLiberty Mutual Companies 23043 INSURED William J Warren and Son LLC, DBA: National 1136 E Stuart St Ste 4204 Fort Collins CO 80525 INSURER B :Pinnacol Assurance 41190 INSURERC:Landmark American Ins Co 33138 INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 Updated 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. INSR LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ MERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR 117:1 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO LOC POLICY 7 JFCT $ AUTOMOBILE LIABILITY Ee aBINEDt SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $er A ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS 6568666 /3/2015 /3/2016 IAUTOS BODILY INJURY (Per accen ) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE Per accident) $ Uninsured motorist combined $ 1,000,000 UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED RETENTION S $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N WC STATU- x OTH- E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 157051 /1/2015 7/1/2016 E.L. DISEASE - EA EMPLOYE $ 500 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 C Environmental HR826400 /22/2015 4/22/2016 Per Claim Limit 1,000,000 Professional Liability Deductible 2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) t�nR I Iri%,A i s nUL Ur-1c GANGtLLA I IUN City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE zcNistler/CHNIST ick—I AGORD Z5 (2010105) INSft9S rgninn,i m ©1988-2010 ACORD CORPORATION. All rights reserved. Tho arriDn n mn ­4 1n ——nicfnrofl —Ire of Arrion