HomeMy WebLinkAboutCOLOSCAPES CONCRETE INC - INSURANCE CERTIFICATE 2023-2024/�►�� �� CERTIFICATE OF LIABILITY INSURANCE � s�i�� 023 �
THlS CERTIFICATE IS 15SUE� AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 'CH� CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIYELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE CdYERAGE AFFORDED BY TH� POLICI�S
I B�LQW. TH1S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 15SUING INSURER{S�, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND 7H� C�RTIFICA7E HOLDER.
IMPORTANT: If the certificate holder Is an AaUITIONAL INSURED, the policy(ies] must be endorsed. li 5UBROGATION 15 WAIVED, subject to
the terms and conditfons of the poEicy, certain policies may require an endorsement. A statement on this certiffcate does not confer rights to the
CertifiCate hOlder in liau of such endorsement(s�.
PROOUCER NAME� Kjrll@ CdI6y� CISR, CIC
Flood and Peterson ar�NN E�: (970►2fi6-7148 � NQ: (97'J�j06-6H�5
E AAAIL
P.O. Box 578 ee KCarey@floodpeterson.com
Greeley CO 84632
iNsuaeo
Coloscapes Concrete, Inc.
3553 Clydesdale, Suite 17.0
INSURER�SI AFFORpING COVEqAGE
:Arch Insarance Companv
Casual
NAIG �F
11iS0
Co America 25674
an 36940
24112
I LOVBIHSId C.�� 80538 I INSl1RER F: I I
COVERAGES CERTIFICATE NUMBER:GL,Ca►V,xS,wC,POL/$ROF, REVISEON NUMSER: �
THIS IS TO CERTIFY SHAT THE POLICIES OF INSURANCE �ISTED BELOW HAVF BEEN ISSUED TO THE 1NSURED NAMEDA80VE FOR THE POUCY PERIOD
INDICATEO. NOTWfTHSTANDING ANY REQUIREMENT, TERM pR GON�ITIQN OF ANY GONTRACT OR OTH�R pOCUMEM7 WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSI�RANCF AFFQR�ED 8Y THE PO�ICIES O�SCR16�p HEREIN IS SUBJECT TO ALL THE TERMS,
EXCWSIONS ANfl CONDfTIONS OF SUCH POLICIE$ LIMITS SHpWN MAY HAVE BEEN REDUCED BY PAI D CLAIMS
ILTR NPE OF INSURANCE ADDL SUBR ppLICY NUMBER MMf�WYYYY MfOUIYYYY 41M7TS
X COMMERCIAL GENERAL LIAB]L17Y EACN OCCURRENCE S 1, 000 , 000
A CLAIMS-MApE �X OCCUR PREMISES Ea ptturtente S 560 , 000
ZAGL892S7901 5/:/2023 6/1/2024 ME�EXP(AnyOrt9parson] S 10�000
PERSONAL & A�V IMJURV S 1, 000 , 000
GEN'LAGGREGATELIMiTAPPLiESPER. GENERALAGGREGATE S 2,000,000
POLICY � PRa � LOC PRODUCTS-COMPlQPAGG 5 2,000,000
OTHER- S
AYITOMOBILE LIABILIiV OMBIN£D SlN LE LIMIT 5 1, 000 , 000
Ea acc�danl
A X AiJYAl1T0 9OOILY INJURY (Per person� S
ALL OWNE� 5CHEDULED Zq�,q79294101 6/_/2023 6/I/2024 80DILY 1NJURY (Per acutlent) S
AUTOS aUTOS
N6N-OWNEO PROPERTY DAMAGE
HIREOAU70S AU70S
Per accideM 5
unmswea moronst oanevied s�ng�e 5 1, 804 , O80
X UMBAELLALIAB X pCCUR F�GH OGCURRENCE 5 5 DOD�OOO
� EXCESS LUIB CLAIMSMAUE AGGREGATE 5 5, 000 , 000
:F{7 RETENTION $ CUP-541163513-23-NF 3{1{7{�73 fififi��C 5
WORKERS COMPENSATION X PER OTH�
ANU EMP40YERS' 41ABILITY Y! N TAT TE ER
ANVPROPRIETORIPARTNERIE%ECU7IVE E.L EACHACCIOENT S 1,000,000
OFFICERIMEMBER EXCLUDE�? � N IA
A (Mandatory in NH) Znuci 9999801 6!1 f247! 5�t fzoz4 E.L DiSEASE - EA EMPLOYEE 5 1, 000 , 000
lyes, descnbe under
�ESCRIPTION OF OPERA710NS below C.L- DISEASE POLICY LIM T 5 1 000 , 000
C Pollutlon/F7CoE. Lidhility eEc2000383 3/1/2023 6/1/2a2a SL'.00O.00Oi52.006.000
D Leased/Rented Equipment TRAB50054A 6/1/2023 6/1/2024 870�ODOLimN51,000Oeduqiple
bE3CHIPTION OF OPERA710M51 LOCAT10N5! VEHICLES [ACORD 107, Additional Remarks Scheduk mey he alfachad if maie spacp i� raqaindj
This aertificate is issued as a matter of INTFpRL+�1T20N ONLY and coveragas reflected are as of ehe date of
issuance. Please note that you vrill not be notified of any alterations of coverage unless you are
specifically listed as the Certificate Holder.
CERTiFICATE HOLDER
City o£ Eort Collins
Development Review Center
281 N. College Avenue
Fort Collins, CO 80524
ACORD 25 (2014101)
�N$��5 y70'48})
CANCEl.U1TION
SHOULD ANY OF THE ABpVE OESCRIBED POLICIE$ BE CANCELLEp BEFORE
THE EXPIRATION DATE THEREOF, NQTICE WILL BE DELIVERED IN
ACCORdANCE WI7H THE POLICY PROV1510N5
AU7HORIZEG REPRESENTA7IVE
YK Carey, CISR, CIC/KC �'�
!
^O 1988-2474 ACORD CORPORATIQN. All
The ACORD name and logo are registerBd marks of ACORD