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ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE
WD%oa
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE
INSURED INSURER& United Fire & Cas .
Colorado Fireplace Supply, Inc.
INSURERS Pinnacol Assurance
10650 Irma Drive, Suite 13
INSURER C:
Northglenn, CO 80233
INSURER D:
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR• TYPE OF INSURANCE I POLICY NUMBER POLICY
(MM'DDD/YY)E POLICY DAE(MWDD/YY _-- _-- LIMITS -- _
A I GENERAL LIABILITY 60048503 110/29/01 . 10/29/02 EACH OCCURRENCE •$1000000
X ,
FIRE- •
COMMERCIALGENERALLIABILITY FE DAMAGE(Any one fire) $10Q 000
CLAIMS MADE X, OCCUR MED EXP(Any one person) $51000
• PERSONAL BADVINJURY 41$1, 0001 000-
GENERAL AGGREGATE $21 000 000
GEN'L AGGREGATE LIMIT PER: ;PRODUCTS COMP/OPAGG $2i 000, 000
--
1 POLICY L_ PEU I LOC - _- -
A AUTOMOBILE LIABILITY 60048503 : 10/29/01 10/29/02 COMBINED SINGLE LIMIT
X , ANY AUTO (Ea accident) $1, 000 , 000
ALL OWNED AUTOS I •
A
—-- j BODILY INJURY
SCHEDULED AUTOS (Per person) I$
X HIRED AUTOS
BODILY INJURY I$
II X NON-OWNED AUTOS (Per accident) y
------ --- PROPERTY DAMAGE
-- - -- I (Per accident) $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I$
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGO '5
A EXCESS LIABILITY 60048503 10/29/01 10/29/02 EACH OCCURRENCE s2, 0001000
I
X OCCUR 'CLAIMS MADE 1AGGREGATE L$2 , 000, 000
I DEDUCTIBLE $
ER - _-- - - --
X RETENTION $10, 000 $
B WORKERS COMPENSATION AND 3463246 07/01//02 07/01/03 )( TORVLIL'TS OTH
1 EMPLOYERS'LIABILITY 'EL.EACH ACCIDENT $100, 000
E.L.DISEASE-EA EMPLOYEE $100, 000
I E.L.DISEASE-POLICY LIMIT $500, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER i 11 ADDn1ONALINSURED;INSURER LETTER: - CANCELLATION
SHOULD ANYOF THE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORE TH E EXPIRATION
Weld County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3.0_ DAYS WRITTEN
1400 North 17th Avenue NOI10ETOTHE CERTIFICATE HOLDER AMED TOTHE LEFT,BUTFAILURE TO DO SOSHALL
Greeley, CO 80631 IMPOSE NOOB LIGATION OR LIAB I OF ANY PT PON,THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIV
ACORD2BS(7)97)1 of 2 #M218470 KLB
() ote aria. 071olltooz. 2002-1773
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