HomeMy WebLinkAboutWESTCO FRAMERS LLC - INSURANCE CERTIFICATE (5)WESTFRA-01 VMATHIASON
ACORO" CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
9/2/2015
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
4848 Thompson Parkway Suite 200
Johnstown, CO'80534
CONTACT
NAME:
PHONE 970 635 9400 FAX 970 635-9401
(E , �o, Ext): (.___)__ _ _.--_ ..-- _lac, No)_�_ )
ADDRESS: info@mypfsinsurance.com
INSURER(S) AFFORDING COVERAGE
NAIC q
INSURER A: Colony Insurance Company
INSURED -
INSURER B: Auto Owners Insurance Group
18988
INSURER C: National Union Fire Insurance
Westco Framers LLC
Westco, LLC
P.O. Box326
INSURERD:
Berthoud, CO 80513
INSURER E :
INSURER F :
rnvco nr_cc f`FRTIF1rATF NII IMRFP- 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.
-INSa ADDL SUER POLICY EFF POLICY EXP
/YI LIMITS
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDYYY MM/DD/YYYY
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE L__J OCCUR
103GL000876300
03/03/2015
03/03/2016
-PREMISES (E�a occurrence)_
$ 100,000
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ _ 2,000,000
PRODUCTS - COMP/OPAGG
_
$ 2,000,000
POLICY 1-1PRO- LOC
JECT
OTHER:
AUTOMOBILE LIABILITY
COMBINED
I SINGLE LIMIT
_(Ea —) .--
$ 1,000,000
—__-
BODILY INJURY (Per person)
$
B
_
X ANY AUTO
44740399
09/22/2015
09/22/2016
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
_ (Per accident)_
$
X
UMBRELLA LIAB
X
I OCCUR
EACH OCCURRENCE
$ 1,000,000
C,
EXCESS LIAR
~u—{
CLAIMS�v1ADE
BE012111324
03/03/2016
03/03/2016
AGGREGATE
$ 1,000,000
—I
DED RETENTION$
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN
74006571
04/09/2015
04/09/2016
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
E.L. DISEASE - POLICY LIMIT
1 $ 1,000,000
If yes, describe under - - -
DESCRIPTION OF OPERATIONS below
B
Leased/ Rented Equip
74035731
09/22/2016
09/22/2016
Limit 100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
t/CK IIt-lk A I t
City of Fort Collins
Sandy or Lori
PO Box 580
Fort Collins, CO 80524
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
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lcl 7`JDD-LUl4 HVVRL/ VVRrVRH11V1Y. NII nynw rCam ve:u.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD