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HomeMy WebLinkAboutPREMIER FIRE PROTECTION INC - INSURANCE CERTIFICATEAC"R" CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 12/2/2015 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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Teresa Berry y PHONrE Xt. (970) 356-0123 IXNo: (970)330-1867 E-MAIL ADDRESS: TBer @FloodPeterson.com INSURERS AFFORDING COVERAGE NAIC If INSURERA:ROckhill Insurance Company-28053 INSURED Premier Fire Protection Inc. 253 SW 42nd Street, Unit D Loveland CO 80537 INSURERB:Cincinnati Indemnity Co 23280 INSURERC:Pinnacol Assurance 41190 INSURERD: INSURER E : _ INSURERF: COVERAGES CERTIFICATE NUMBER:CL1512207438 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE FxI OCCUR DA AGE To RENTED PREM SES (E. occurrence $ 100,000 MED EXP (Any one person) $ 5,000 RFSCAK000024-00 12/4/2015 12/4/2016 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG $ 2,000,000 WYSG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ENP0162935 12/4/2015 12/4/2016 BODILY INJURY (Per accident) $ X (pera cRdentDAMAGE $ NON-ROPETY HIRED AUTOS X AUTOS ED Uninsured motorist combined $ 11000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 HCLAIMS-MADE AGGREGATE $ 51000,000 A EXCESS LIAB DED X I RETENTION 10,000 $ RFSXAR000009-00 12/4/2015 12/4/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N STAOH- E.L. EACH ACCIDENT $ 1,000,000 (-' ANY PROPRIETOR/PARTNER/EXECUTIVE F---I OFFICER/MEMBER EXCLUDED? i� (Mandatory in NH) NIA 4064028 12/1/2015 12/1/2016 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Leased/Rented Equipment ENP0162935 12/4/2015 12/4/2016 Limit $50,000 A Errors & Ommissions RFSCAK000024-00 12/4/2015 12/4/2016 Included DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE Teresa Berry/TBERRY ACORD 25 (2014/01) INS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD