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HomeMy WebLinkAbout245369 PREMIER FIRE PROTECTION INC - INSURANCE CERTIFICATE (7)ACC)R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/7/2016 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 CONTACT Javier Perez NAME: Flood and Peterson HONK (970) 356-0123 aC No : (970) 330-1867 E-MAIL JPerez@FloodPeterson.com ADDRESS: PO Box 578 INSURERS AFFORDING COVERAGE NAIC # INSURERARockhill Insurance Company 28053 Greeley CO 80632 INSURED INSURERB:Cincinnati Indemnity Co 23280 INSURERC:Pinnacol Assurance 41190 Premier Fire Protection, Inc. INSURER0: 253 SW 42nd Street, Unit D INSURER E : INSURER F : Loveland CO 80537 COVERAGES CERTIFICATE NUMBER CL1612714864 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 ADOL UBR POLICY NUMBER MMIDDIYYYY POLICYXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 250,000 MED EXP (Any one person) $ 5,000 RFSCAK000024-01 12/4/2016 12/4/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 7 JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acc dent $ 1,000,000 BODILY INJURY (Per person) B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ENP0162935 12/4/2016 12/4/2017 $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ NON -OWNED X HIRED AUTOS X AUTOS Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 ROE'D AGGREGATE $ 5 000 000 A XESS LIAB CLAIMS -MADE I X I RETENTION$ 10,000 $ RFSXAK000009-01 12/4/20161 12/4/2017 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4064028 12/1/2016 12/1/2017 X PER TH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Errors & Omissions RFSCAK000024-01 12/4/2016 12/4/2017 Limit per Occurrence/Aggregate $1/2,000,000 B Leased/Rented Equipment ENP0162935 12/4/2016 !12/4/2017 I Limit $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) to] =11A1I2L9d1-9:Lei 491_:1 City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 ACORD 25 (2014/01) INS025 i2014n11 Javier Perez/JPEREZ ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD