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HomeMy WebLinkAboutAAA FIRE PROTECTION INC - INSURANCE CERTIFICATE (3)AAAFI-1 OP ID: SLR ACORO " CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 707/31/2015 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 CRS Insurance Brokerage Commercial Risk Solutions DBA CONTACT NAME: David A. Benshoof PHONE FAX o Ell: 303-996-7801 vc No): 303-757-7719 A/c No, MAIL A DRESS: 6600 E. Hampden Ave. Denver, CO 80224 David A. Benshoof INSURERS AFFORDING COVERAGE NAIC # INSURER A: Auto -Owners Insurance 18988 INSURED AAA Fire Protection, Inc. 11861 E 33rd Ave., Unit D Aurora, CO 80010-1456 INSURERB: INSURERC: INSURER D : INSURER E: 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. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 74108733 08/03/2015 08/03/2016 EACH OCCURRENCE $ 1,000,00 RENTED PREM SES A AGE ToEa occur ence $ 300,00 MED EXP (Any one person) $ 10,00 X HNOA PERSONAL & ADV INJURY $ 1,000,00 GEN'LAGGREGATE LIMIT APPLIES PER RO- X PRO ❑ POLICY ❑JECT LOC OTHER. GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS X X NON -OWNED HIREDAUTOS AUTOS 4810873300 08/03/2015 08/03/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 4810873301 08/03/2015 08/03/2016 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 DED X I RETENTION $ Waived $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A 74007352 08/03/2015 08/03/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 A Lease/Rented Equip Spec Form/ACV 74108733 08/03/2015 08/03/2016 Limit 25,00 Ded 50 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. L.tK 1 Ir*IL.A I t 11ULUtK I:ANL:tLLA 1 IUN CIFORTC 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. P.O. 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