HomeMy WebLinkAbout20001887 ACORD. CERTIFICATE OF LIABILITY INSURANCE mm� 'nyI °"mot"'"°°^") .'
c)7/27
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 YOUNG FIELD I ELD ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW,
LAKEWOOD, CO 80215
303-233-2332 •
.
_ INSURERS AFFORDING COVERAGE •
INSURED AMERICAN SIDING & CONSTRUCTION MM ERA. MID-CENTURY INSURANCE -
INSURER B: ------ - - -- - ----- .
5161 WARD ROAD UNIT 1 INSURER c:
WHEAT RIDGE,CO 80033 INSURER D. -� �- - -- - _ _._.
-- 3303-425-7396 mm
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 EJ':H
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LV1WT�
TR TYPE OF INSURANCE _ }1 POL
ICY NIlMtI! roLIGY ACTIVE POLICY EXPIRATION
V31LTEIDDITY) DATE ORMOONYI _ -- i
EN GERAL L(ABILITY I �. ._ - EACH Dccli RENCE _r _ - f
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one Iva)—_- - `
C(AIMS MADE Li OCCUR _
MED EXP(Any one person) I
_3
.._' PERSONAL&PEN INJURY 0._- • .---
- • E
- I GENERAL AGGREGATE I.
l..
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS•COMPADP AGG >
POLICY F1 PRa I tux
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO (Ea accident)
._ _ .
ALL CANNED AUTOS .
BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTO; I BODILY INJURY
NON-CWNEC AUTCS ( t)
_-.--._.... 4-
--- PROPERTY DAMAGE
(Per accident) !
...__ - _.� -..,., -1-. . i
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ` _
!Et ANY*IMO
OTHER THAN EA ACC$
. .
EXCESS LIAMLRY__._._.. ._..r..,.. .-.... -...-_.... ..-:.._..._... ._..... ___......_._-.__....,.._.....,_... EACH OCCURRENCE ._ A-.
OCCUR [_J CLAIMS MADE AGGREGATE ,.
E _.....�.. S _.
1] DEDUCTIBLE I i y. •
_-�RETENTION _S --- `..
-_ WORKERS COMPENSATION AND WC STATU -TOTH. -
�.._-�__._.....-_......�.__.._.-____.-.__._-.._..��-�.-..._.._.....rte_..-...�..__...�ORY LIMITS I FR
EMPLOYERS'MOUT/ A I�4 0 7-91-7 0 08-01-00 08-01-01 E.L EACH ACCIDENT
A i E.L DISEASE-EA EMPLOYEE s100, 000 0 0: (1 00 •
K_..,.- _ _ _..__ _� I.- E L DISEASE POLICY LIMIT 5.1::.00 000
OTHER
DESCRIPTION OF OPERATIONINLOCATIONSNEHICLES/EXCLUSIONS AODED BY ENDORSEMENTISPECIAL PROVISIONS- - - . . ._ --
i
i
5
I
CERTIFICATE HOLDER "XI-ADDITIONAL INSURED' INSURER LETTER: CANCELLATION
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES IRE CANCELLED BEFORE THE EXPIRATION
I WELD COUNTY DATE THEREOF,THE ISSUING INSURER 541LL ENDEAVOR TO MAIL 30 DAYS WRITTEN .
1 555 N 17TH AVE
7 ' NOME TO THE CERTIFICATE HOLDER NAMED TO TAE LEFT,BUT FAILURE TO DO SO SHALL
IGREELEY CO p 80631 • IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPR TA ES.
ati op _
r
2000••1887
!.AP),13712
. _.i_�7/s17 __ JL,, ___._ _ _.._... ,..'®ACOlcu a.Hl.r••...,.,.,r. .......
Cc./1 i-i Qc' /'/CY r.. /-CC..
Hello