HomeMy WebLinkAbout20011972.tiff ACORDe CERTIFICATE OF LIABILITY INSURANCE DATEpewDarn
07/09/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ROBERT DAVIS AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2030 YOUNGFIELD I ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
LAKEWOOD, CO 80215 INSURERS AFFORDING COVERAGE
303-233-2332
,I"$URED AMERICANS BEST INSURERA MID-CENTURY INSURANCE
HOME REMODELERS INC INSURER B
16161 TABLE MOUNTAIN PARKWAY INSURER C:
GOLDEN COLORADO 80403 INSURER D.
1. 1303-425-7396 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 SE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POUCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
twin TYPE OP IMeURANCE POLICY NUMBER POLICY EMOTE* POLICY EXPIRATION Users
MrDATE II�eMOD/YY) DATE{Ml1�O1YYL_
GENERAL LIABILITY EACH OCCURRENCE E
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $
1 CLAIMS MADE OCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY S
GENERAL AGGREGATE $
GEM-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $
POLICY JECT n LOC
AUTOMDpLE LIAeIUTY
COMBINED SINGLE UNIT
■ ANY AUTO (Es accident)
■ALL OWNED AUTOS BODILY INJURY $ '
I SCHEDULED AUTOS (PEI pin)
HIRED AUTOS
BODILY INJURY $
■ NON-OWNED AUTOS (Per dent)
PROPERTY DAMAGE $
(Per eecideM)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
■ ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG $
EXCESS Immure' EACH OCCURRENCE $
fOCCUR I CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ 70 $
WORKERS CWM►EM8ATION AND _ I TORY t M S j ER
impL°'in$.L' m A0407-91-70 08-01-01 08-01-02 EL.EACH ACCIDENT s100, 000
A E.L.DI.S1-€-EA EMPLOYEE $100, 000
E.L.DISEASE-POLICY LIMIT $500, 000
OTHER - -
DESCRIPTION OF OPGRAnotakorAtioNssavicusfaxetusioss ADDED BY ENDORSESIENTISPECIAL PROVISIONS
CERTIFICATE HOLDER I X ADDIT OMAL INURED;IN$wWER LErrER: CANCELLATION
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES OE CANCELLED BEFORE THE EXPIRATION
WELD COUNTY DATE THEREOF,THE IaUINE imam WILL(ENDEAVOR TO NAIL. 30 DAYS WRITTEN
1555 N 17TH AVE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,OUT FAILURE TO 00 SO SHALL
GREELEY CO 80631 IMPOSE NO OBLIGATION OR LIAGI.ITY OF ANY KIND UPON THE INSURER.Irs AGENTS OR
ROPREa�MrATNES.
qfr(-iiik,- ° 3 _. ) � ,le—O�Rslee"TATNE 2001-1972
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