HomeMy WebLinkAboutTRENCH RIGHT LLC - INSURANCE CERTIFICATEA� Q� DA7E (MNVUDIYYVY)
CERTIFlCATE OF LIABILITY iNSURANCE 1/11/2024
THiS CERTlFICATE IS lSSUED AS A MAT7ER OF INFORMAFION QNLY AND CONFERS NO RIGHTS UPON THE CERTIFICA7E HOLDER. 7HIS
CERTIFICA7E DOES NOT AFFIRMA7IVELY OA NEGATIVELY AMEND, EXTENP OR ALTER THE COVERAGE AFFOR�ED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEt�t TNE ISSUING INSURER(5), AUTHORIZED
REPHESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certHiCate holder fe an ADDITIONAL INSURED, the policy{fes) must have ADDITIONAL tNSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subJect to ihe terma end conditions of the policy, certain pollcies may require an endorsement. A atatement on
this certificate doea not confer ri hts to the certificafe hoEder in lieu of euch endorsement s}.
PHODUCER NAME: LOfI ROSB
Arthur J. Galla�her f2isk Management Services, LLC PHONE Fnx
12750 Merit Dnve Suite i400 �al� cac No1
Dailas TX 75251 nnnReSs: Lori Rose@ajg.com
INSURED
Trench Right LLC
4500 E 60th Ave
Commerce City, CO 60022
INSURER(S� AFFORUIN6 COVERAGE
iNsuREA a: lValionwide Mutual Insurance Company
NEIGLOC-01 INSUREH B: AMCO IfISl1f8f1C8 COR1Fa�y
INSURER E :
NAiC �
19100
42587
28932
Markel AmenCan InsuranCe
COVERAGES CERTIFICATE NUMBER: 1490911755 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEb BELOW HAVE BEEN ISSUED 70 7HE ItVSURED fJAMED ABOVE FOR THE POLiCY PERfOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIpN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IIVSURANCE AFFORDED BY THE POUCiES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS,
EXCLUSIONS AND CONDITIQNS OF SUCM POLICIES. LIMiTS SHOWN MAY NAVE BEEN REDUCEO BY PAIp CLAIMS.
INSR TYPE OF INSURANCE A�b� su�p VOLICY NUMBER � MMlDD/YYYY MMfDO/VYYP V� LIMITS
LTR
%� X COMMERCIAL6ENERALLIABIUTY Y ACPGL03110341248 41112023 411J2024 EACNOCCURRENCE $1,OD0,000
6Ai�lA�`,ETa FiENTE[S
CLAIMS•MADE x OCCUFi PR£MISES Ea occurrente S i.000,000
_ MEO E�A� one person� 5 70,OOD
PEflSONAL & ADV INJURY $1.000,000
GEN'L AGGREGATE LIMI7 APPLIES PFR: GENERAL AGGREGATE S 2.000,000
POLICY ,%� ECT a �� PROpUCTS • COMPIOP AGG 5 2.000,000
OTHER: � g
C AUTOMOBILE UABI4ITY ACP BAPD 3110341248 4(1/202J 4l112024 COMBINED 3NGLE LIMIT 51,000,000
Ea acdAentl
X ANY AUTQ BODlLY INJURY (Per persan) S
QWNEO SCHEDUIED BODILY iNJURY (Per acGOent) 8
AUTOSONLY AUTOS . .. . _. _. . .
X HIREO X NON-QWNED PROPERTY DAMAGE S
AU70S ONLY AUTOS ONLY Per ecddenl
5
0 X UMBRELLA LIAB X p���q ACP CAA 3110341248 4l1f2023 41112024 EACri OCCURRErvCE S 5,000,000
EXCESSLIAB CLAIMS•MAOE AGGREGATE 5�.0�0,000 �
DED RETENTION $ $
g WORKERSCOMPENSATION ACP WCA 3i50341248 411l2023 411/2024 X PE TH-
AND EMPLOYERS' LIABILITY STATUTE ER __
ANYPROPAIETOR/PARTNERlEXECVTIVE Y� N(A E.L. EACH ACCIDENT $ 1,000,000
OFFICER�MEMBER EXCLUDED?
(Mentletory In NH) E.L. OISEASE - EA EMPLQYEE S 1,000,000
II ye5, descri0e under
PESCRIPTiON OF OPEFATIONS below E.L DISEASE - POLICY LiM1T 5 1.000 000
A �n�and Manns ACP CIM 3150341248 411f2023 4/112024 lease0/Rented Equip $100,000
� MKLM4EUE101141 41112023 4l112024 InstolWt�o� Fbater $100,000
Excesa LlaOility (5Mx5M) Limil (Ea OcUAGG) $5,000,000
DESCRIPTION OF OPERA710N5 / LOCATIONS/ VEHICLES (ACORD 101, Addilionsl Remnrks Schedule, mey be ettached il more space ie reQuired�
City oi Fort Collins is en Addttionai lnsured as respects General Liability policy, pursuant to and subjecl to the policy's terms, definilions, conditions and
exclusions.
TE HOLDER
City of Fort Collins
281 N College Ave
Ft Collins CO 60524
USA
ACORD 25 (2016/Q3)
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIED BEFORE
THE EXPIRATION DATE THEREOF, NQTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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(41988-2015 ACOFiD CQRPORATION. All rights resarved.
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