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Home My WebLink AboutPIERSON'S CONCRETE CONSTRUCTION COMPANY - INSURANCE CERTIFICATE 2023-2024AC� � UATE�MMlOOlVYYY� �� CERTIF�CATE �F LIABILITY INSURANCE OSl1812023 THI9 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOH ONLY RND CONFERS NO RIOkTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT J4FFIRMI4TIVELY OR NEOATIVELY AMEND, IXTEND OR ALTER THE COVERqGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFiCATE OF INSURANCE DOES NOT CONSTITUTE A C�NTFiACT BEYYVEEN THE ISSUINO INSURER{5), AUTHORI2ED RE9RESENTATIVE OR PRGDUCER, ANd THE CERTIFICATE HOLDER. IMPORTANT: If tha certi8cabe holder is an ADDITIOHAL INSURED, Ihe pplicy(ies) must have ADDITIONAL IN4URED provisfoiu or 6e endorsed if SU9ROOATION IS WAYVED, subJect to q1e tel'If15 81W OOltditions Ot tlte policy, certain policies may roquire an erWo►semaM_ A statemint an this certificate doas not oonfar rlshts !o tl►e cerlilicate hdder in Ileu af such endonemeMlsL PROOVCER F6DERATEO MUTUAL NSLIRANCE CONiPAM' HOME OFFICE: P.O. BOX 328 OWATONNA, MN 55060 IH9UREO PIERSON'S CONCRETE OONSTRUGT ON COMPANY 250 BARBERRY PL LOVELAN�, CO 8053T-7124 OOVERAGES CEitTIFICATE CLIENT CANTAGT :�t1: 889-333-4949 401-Q�i2-6 INSUREN B: �wsueEa c: �NsueEa o; wsuaeA e: REVISiON NUMBER:O 13935 THIS 15 TO CER7IFY TNAT THE PO�IClES OF INSURANCE LESiED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 'HE AO�ICY PERIOD INDICATED. HOTWITHSTANDING ANY REQlIIREMENT, TE0.M OR CDNpITION OF ANY CONTRACT OR 07FiER DOCUMENT W TH RESPEC' TO WHICH TH 3 CERTIFICATE MAY 8E ISSUEp OR MAY PERTAIN. THE INSURANCE AFFORDE� BY FHE POLIC ES DESCRIBEO HEREiN IS SUBJECT TO ALL THE TERMS. EXCLUSIpN$ qND CONDIi ONS OF SUCH POLIClES. LIMITS SHQWN MAY HAVE BEEN REOUCEO BY PAI� CLAIMS. � TYPE OF INSURlWCE '� B POLICY NUlNBER E P Y% LIMITS X COMMERCIAL OENERAL tJABILITY EACH OCCURRENCE �i3OOO,000 CWMS•MA➢E �OCCIIR AMAOETO EHfE�PREMF8E6 ;�� MED ExP �My ene penani SS,UU6 A Y N 9841477 07l01I2023 67/01M024 pERSONAI 6 ADV IN_U(l'� 7 000 OOa GENL AGGREGAiE LAMIT APPlIES PEH: X POLICY �E� � LOC PROOUCTS d COMPIOP ARO 52,000,000 OTHER: AUTOMOBILE LIABILITY OM9INED SINOLE LIMIT si�OOO�OOO Ea amd�n %� AhfYAUTO BOOILV IN3URV �Per Perm� A OWNEDAUTOSON�Y AU�U�ED N hl 98414T7 07l01l2023 O7/tlll2Q2q BOGILYIIi1URY�P�rAcciE�nd HYtEUAUT0504VLY NQY�(7WNED ROPERTY AOE AUTOS ONLV [j�de x UIdBRELLA LU4B X p�CUR ¢AGH OG[URRENCE sS,00O 006 A EXCESSLUIB GAtMS�AApE N N 984147$ O710112D23 0714112Q24 AGGREGATE s5,000,00a DED REiEN710N WORKEpS COMPEiIlA710N PER STATUTE 'HER ANU EMPlOVERS' LIABILITY ANY PRDPRIETORlPARTNER! EKEC[fTiVE E.l EACH ACCIOENT S�,�O (� OFflCERfMEM9EREXCWDEU7 NIA N 9841477 O7l0112023 O7l01l2024 (M�ndafory in NH) E� DI6EA6E EA EMP4oYEE sSOO.DOO DElCRIPTION � OPERATIONS 6dow E.L D14EA7E � POIICY LIMIT S�,�O �ESCRIPTION OF OPERATIONS f LOCATION� 1 VEHICLES (NCORD f01, .4ddiEaml q�mark� SdwduN, may Le alhtlied if man �p�ee f� rpuknE� SEE ATTACXEU PA6E CERTIFICATE HOLDER A01-652�'i CITY OF FORT CpLLIiVS PO BOX 580 FQRT COLLINS, CO 80522-0580 CANCELLATION 157 0� SHOULD ANY OF THE ABOVE DESCRI9ED POL141ES BE CANGEELED BEFORE THE EI(PIRA710N DAl'E THEREOF, NOTICE WILL BE DELIVERED IN ACCOR�ANCE YVITH THE POUCY PROVISIONS. ILLI7HORIiEG REPpE5EN7AY Vi ) ] (f !j � � I 1 `�� !/ % �,i .f�F�,++l,{d 507-446-466A 0 1988-2015 ACOR� CORPOR,4TION. AI1 rlcjlls reserveq. ACOR� 26 (2078103) 7he ACORD name and logo are ragistered marks ot ACQRD ��""� ACiENCY CUSTOMER ID: 401-052-8 ACQKl7° LOC #: �`�^"'� ADDITIONAL REMARKS SCHEDULE #,� , AGENCY NA1dE0 INSVREO FEDERATED MUTUAL INSURANCE COMPANY PIERS�N'S GONGRETE GONSTRUGTfON COMPANY 250 BARBERRY P� POL[CY NIIMBER LOVEIAND, CO 80537-7124 SEE CERTIFICATE �j 157.0 CARRIFR NAIC C4�E eF�crive onre: SEE CERTIFICATE � 157.0 SEE CERTIFICATE # 15T.0 AO�ITIONAL REMARK3 ACORD 101 {2pOBN11 � 200� ACORD CORFORATIOH. All rlgMs rnsenred. The ACCRD nams and logo ars registared marks of AC�RU '`�� CERTIFICATE OF LIABILITY INSLJRANCE OAT�1I�OP�Y) THIS CERTIFICATE IS ISSUED AS A MAiTER OF INFORMATIOH ONLY AND CONFERS NO RIDHTS UPOH THE CERTIFICATE FIOi.DER. THIS GERTIFICAiE DOES NOT AFFIRMATIVELY OR NEOATIVEtY AMEND, D(TEND OR ALTER THE COVEpApE AFFOR�ED BY THE POLICIES BELDW. THIS CERTIFICQTE OF INSUitANCE DOES NOT CONSTITUTE q CONTRACT BETWEEN THE ISSIJIkO INSURER�S), AUTHORIZED REPRESENTATIVE OR PRODIICER, AHD THE CER7IFICATE HOLDER. IMPORTANT: 1f tlie catiHcate holder Is an ADDITIONAL IN$URED, the pWlty(ies� must have JI�OITIONAL IN5URED praAsions ar be endorsed II SUBROOATION IS WAIVED, subjqet to tha tel'itts and condltiohs a} the podcy, certain paficies may ro¢ilre an endorsamelft. A statemeirt o� this certificata does not oorner ri to the certificate holder in fkeu of such endarsement{s). PRODl10ER NRMEA�t CLIEN' GONTAGT GENTER FEpERATED MUTt1AL INSURANCE COMPANY HOME OFF'CE: P,O, BOX 328 pAlCNRo, �t�:88&333-4949 fn,e, xe�: 507-448-4664 QANATONNA, MN 5506D E_MAIL__ n„�.��...,.��...r..�.,r�„��. .............. INSURED 401-052-6 P,ERSON'S GONCRETE pONSTRUGTfON COMPANY 250 9ARBERRY PL LOVELAND, CO 9053T-712A COVERAOE5 CERTIFICATE NUMBER: 24 iHsaRen n:FEDERATED MUTUAL INSURANCE COMPANY I 13935 iNsuRex o: INSURER E: INSURER F: REVISION NUMBER: THIS i5 TO CERTiFY THAT THE POLICIES OF IN4URANCE LIBTED BELOW HAVE BEEN ISSUED FO TH6 lNSURED NAMED ABOVE FOR -ME POLICY YERIOD INDICATED NOTW THS7AND NG ANY REQUIREMEMT. TERM OR GONDITIOH OF ANY CONTRACT OR OTHER DOCUMENT W TN RESPEC' TO WHICH TH S CERTIFICATE MRY BE SSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS S119-EC7 70 ALL THE TERMS. FJ(CLUSIONS AN� CONUi i iONS OF SUCIi POIICIES. L MI'S SHOWN MAY HAYE B�EN REOl10E� BY PAID CLAIMS. � TYpE OF INSVRMICE �� B POLICY NUMBER 0�CY � P P I,;MITS X COMMERCIALOENEAALLIA81L1TY EAGHOtCURRENCE S1,DOO,O00 CWMS•MA➢E �X OCC�R A#IA6E TO EMTED PREM-5E6 5100�000 MED EfIP �{hy pnt p�non;� fS�OOO A Y N 9841477 07107l20Q3 QT/01l2024 pERSONAI 8 ADV IMIIIRY 7 U00 000 6ENL AGOREGAiE LIMIT APPLIES PER: X POLICY �� LOC PAODUCTE 8 COMPIOP !W6 fI' �QOO�OOO OTHER: AUTOAIOBILE LlABILITY OMBINED SIMOLE tIMIT g1,000,000 Ea acciNn %� Ah1YAUT0 BopILY INJURY �Per Peraan� A OWNEDAUTO$OMLY `-�Uj�ULEO M � 9�i47] Q7/(1�f2�3 0TI01l2024 gpplLYlIiJURY{PUAaIE�nQ HIREUAUTOSONLY ADM�QN�Y ROPERd �AMAGE x UMBRELLA LIAB x VS:CUR EPICN OCCt1RRENCE g5,000,000 A excFss�we c�aunsauwpE N N 9841478 07107/2023 07l0172a24 AC6REOATE f5,000,000 DED REiEN7NJN WORKERS COMpEN9ATION AflD EMPLOYERS' LIABILITY � X PER STA'UTE i�TH� A ANY PROPRIETORIPARTNERI E%ECU7IVE (� OFFICERfMEM6ER E%CLUUED7 N!A N 1814973 O7l04/2Q23 O7l0112024 E.L EACH AGGIOEN7 j1,000 006 [MmAabry In NH) E.L OISEASE EA EMPLOYEE s7,060.006 If Ye�. AssCflee VIOa DESCRIPTION OF OPERATIONS 6�Mw E.L WSEASE • VOIICY L1MIT i'I�OOQ,OOO a�,r�oNuns�urr N N 1894975 o�ro�noza o7rvt�2oza APOLLWCQENT S�,Qoo,oao A GGRHCATE i2,0OO,000 6ESCRIFTION OF DPERATION! ! LOCATIONs 1 VEHICLES f/�OR� 707 A.ddiYmd R�mnk� Stlrduh, may be athd�ed it mon �paw n raqdred� G�RTIPICATE 11VLDER 461-052-6 ATTN: ENGINEERING REPARTMENT CITY OF FORT COLLIN3 281 N COLLEGf QVE FORT COLLINS, CO 80524-2404 ACORD 25 {2p18AC3) CANCELLATIOM 24 fl I SNOULD ANY OF TNE ABOVE DESCRIBED POLICiES 8E CANCELLED BEF4RE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DpLIVERED IN ACGOR6A#IC8 WITH THE POWCY PROVISIDNS. AUTHOR2EDREPRESEMATIVE / � (] /� � . �/ / v u �►� fC p �:�� 1988•2015 ACORD CdRAORATION. Afl rl�ts reserved. The ACORD rume and logo are registaretl marks of ACORD