HomeMy WebLinkAbout951811.tiffACONID. CERTIFICATE OF INSURANCE _
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
N 6 c R W R T T E R S SAFETY 3 CLAIM; -CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
ISSUE DATE (MM/DD/YY)
S,/ 19
Tc1.N1SSE60 I td:,. pnIIrlFSBFLOW
11415 PARK kOkii COMPANIES AFFORDING COVERAGE
LtstlISVILt / KY r` �.d_'
INSURED
fr:.e1ey M 'local/ Phy*+or/ Inc.
r rycor of Greeley. Inc.
1 :r. 16th Street
reeley CO
COMPANY A
FETTER
-COMPANY B
LETTER
COMPANY `.
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
CASUALTY + + . (CNA)
„LsNTsl�ri�l�, L S. CL.. (CN'')
4 !vl .r• i\ I L. " N I. .T i.! .\ L I Y (tt, �� . . 'V W )
r' ^ NS'' T,: T1ON CO. (CN4)
(eii:Alili i:j iij.TY 4.' Cr%)
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES
RIOD
IND CA ED, OTWITHSTANDINGANYBEEN TO ABOVE ICYREQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT -P
TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SAFFORDED
H0WN MAYPOLICIES HEREIN IS SUBJECT TO ALLTHE TERMS,
HAVE BEEN REDUCED PAID BY CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
J GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROT.
P1151511)4
S1517l4
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
-GARAGE LIABILITY
,/L1/9y
/ • :1 / 9 .1 GENERAL AGGREGATE S 14-01A-1.1 ,
PRODUCTS-COMP/OP AGG.
Ci 1 C 31L_I5 tit 1 Li',
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED. EXPENSE (Any one person)
COMBINED SINGLE
LIMIT
.BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
L. EXCESS LIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
4i
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
ClE127999
.f27999
-OTHER ,: 1 J '•� 1 C :J 4
Property Comb:/fled
81anket su:i1din
Contents
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
2 - : W/11 Go. 5hertfT .'i I.,ePartm,nt
1 / '" EACH OCCURRENCE
AGGREGATE
10000 .. d..
$.103.00J
:114 X STATUTORY LIMITS
EACH ACCIDENT $
DISEASE -POLICY LIMIT S
DISEASE -EACH EMPLOYEE $
y:r1:1 f1/�.
SP,acLa:i Form
U€.
1
CERTIFICATE HOLDER
Value RX vh;ermacy 'rocram•
Inc.
' 12 1.)t, i< uo '
i,re 1 y/ C/ ... 1
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIESi3E CANCELLED BEFeRETHE
EXPIRATION DATE THEREOF, THE ISSUING COMRAryY WILL ENOEAi/OR TO
MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
EEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE. N,O OBLIGATION OR
ITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR FEPRESENTATIVES.
ZED REPRESEN
Q
Hello