HomeMy WebLinkAbout20030573.tiff ACORDM CERTIFICATE OF LIABILITY INSURANCE 0212412003E(MM!DDTYYY)
T'RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
JVelsh Insurance
Agency, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1310 East Eisenhower Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Loveland CO 80537 INSURERS AFFORDING COVERAGE NAIC#
NSURED AIR-CITY HEATING&NC INSURER A'. AUTO OWNERS _
6760 N.Franklin ave. INSURER a
INSURER C:
Loveland CO 80538 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.
VSR DD' POLICY EFFECTIVE POLICY EXPIRATION
TR NCR TYPF OF INSIIRANCF POLICY NUMBER DATE IMM/D1)/YYI DATF IMM/DD/YY% LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
K X COMMERCIAL GENERAL LIABILITY 45.739193-03 3/5103 3/5/04 DAMAGE TO RENTED
PREMISES(Ea ocrurencel $ 100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000
I PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY PFC I LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $500,000
X ANY AUTO 42.864547-00 16/19/02 6/19/03 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS
(Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE
OCCUR I CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WC STATU- 0TH-
WORKERS COMPENSATION AND X TORY I IMITS! FR _____
EMPLOYERS LIABILITY
K ' 45-109813 418/02 4/8/03 E L EACH ACCIDENT $ 100,000
ANY CER/MEM OR/PARTNE EDXECUTIVE Y.
..� EE $ 100,000
OFFICER/MEMBER EXCLUDED? E.L.DISEASE MPLOV
if yes,descr,be under ,
SPECIAL PROVISIONS below E.L.DISEASE�ICY LMldl3 $100,000
OTHER
�N)
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
AUTO OWNERS FORM 55202:NO PRODUCTS OR COMPLETED OPERATIONS PROVIDED TO ANY ADDITIONAL INSURED.
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CERTIFICATE HOLDER CANCELLATION
WELD COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
1555 N.17TH AVE. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTE
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHAL
GREELEY,CO 80631 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS 0
REPRESENTATIVES.
AUTHO ZED REPRESENT IV
� i 7Z� oz"lip'""''v' a 2003-0573
ACORD 25(2001108)
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