HomeMy WebLinkAbout114078 FRONT RANGE FIRE PROTECTION INC - INSURANCE CERTIFICATE (10)AC O?RLO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMlDDlYYYY)
05130/2018
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 have ADDITIONAL INSURED provisions or 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 Kylie Carey, CISR, CIC
NAME:PHONE
Flood and Peterson
o Ext : (970) 266-7148 FAX
AIC No,No): (970) 506-6845
E-MAIL KCarey@floodpeterson.com
ADDRESS:
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Everest Indemnity Insurance Co.
10851
Greeley CO 80632
INSURED
INSURER B: Everest National Insurance Company
10120
INSURER C : Pinnacol Assurance
41190
Front Range Fire Protection, Inc.
INSURER D :
246 Barberry Place
INSURER E :
INSURER F :
Loveland CO 80537
COVERAGES CERTIFICATE NUMBER: CL1853023512 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDDY/YYYY
MM DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE 7XI OCCUR
PREMISES Ea occurrence
$ 50,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
A
51GLOO1672-181
06/01/2018
06/01/2019
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY ig JET LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
Employee Benefits
$ 1,000,000
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANYAUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
51CA000095-181
06/01/2018
06/01/2019
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED HNON-OWNED
AUTOS ONLY AUTOS ONLY
Underinsured motorist
$ 1,000,000
X
UMBRELLA
X
OCCUR
vV"'V"'VV v"'y' "'""
EACH OCCURRENCE
$ 5,000,000 I
AGGREGATE
$ 5,000,000
A
EXCESSLIAB
CLAIMS -MADE
51CC000535-181
06/01/2018
06/01/2019
DED I X RETENTION $ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
NIA
1651212
06I01/2018
O6/01/2019
/� STATUTE ORH
E.LEACH ACCIDENT
$ 1,000,000
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
51ML000116-181
06/01/2018
06/01I2019
$100,000 Limit
$1,000 Deductible
DESCRIPTION OF OPERATIONS I LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
All Operations -All Locations
CERTIFICATE HOLDER CANCELLATION
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
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
J(J
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