HomeMy WebLinkAboutBivens Trucking & Excavating - Insurance CertificatecAD'CERTIFICATE OF LIABILITY ]NSURANCE DAIE (I'f,/OOryYYY)
116t2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEBS NO BIGHTS UPON THE CEHTIFICATE HOLDEH. THIS
CERTIFICATE DOES NOT AFFIBMATIVELY OB NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROEO BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTFACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
FEPBESENTATIVE OR PNODUCEB, AND THE CERTIFICATE HOLOEB.
IMPORTANT: It the cerllticaie holder is an ADDITIONAL INSURED, the policy(ies) musl have ADOITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, sublect to lhe terms and condltions ol the pollcy, cerlaln policles may require an endorsement. A stalement on
thls cenitlcate does not conler rlghls to the cerllrlcate holder ln lieu ol such endorsement(s).
PAOOUCEA
AssuredPartners Colorado
2002 Caribou Dr, Ste '101
Fort Collins CO 80525
PHONE 303-863,77E8 303-861-7502
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II{SUFED
Brvens Truckrng & Excavating, lnc
862 W. Wllox Ln
Ft Collins CO 80524
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INSUFEB O
INSUFER E
COVEHAGES CEHTIFICATE NUMBERi 157 3142417 REVISION NUMBER:
THIS IS TO CEFTIFI THAT I}IE POLIo}ES OF IITST'HANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEFIOD
lNDICATED, NOTWITHSTANDING ANY BEQUIREMENT. TERM ON CONDITION OF ANY CONTBACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CEBTIFICATE IUAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROED BY THE POLICIES DESCFIBED HEBEIN IS SUEJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN HEDUCEO BY PAID CLAIMS.
INSF
TYPEOFINSUNANCE IIIJITSAOOL SUSF
POLJCY NI]MEEF
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$ 1.000
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12.000
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52 000.000
COII IIERCIAL GEN EAAI LIABIUIY
curus.uroe X occun
EACH OCCUFTFENCE $ 1.000.000!ffitr?F;, iqpqq'.-.-
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ANYPHOPBIETOR,PARTNERIEXECUTIVE
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EL OISEASE - FOL CY LIMIT ISl OOO 00c
$50 0c0ENP 0469281C !.6.d/RenI€dEqJrprcnr 1?J112021 12t1n0?5 uhn
DESCF|PnO Of OPERAnOTS / IOCATiONS / VEIICLES {A(>oiO .tot, Adlrion l S Etr(i sch.duh, mly b. dleh.d |rmor€.p.c. h ruqrt.d)
lf requir6d by wntten coniact or agreement sign ed prior to a loss the following endorsament applies on a blan(et basi6
CSlA405{ Additonal lnsured-Owners. Lessees or Conbactors-ALttomatic Status
Cerbfcate Holder and Moris Truckng lnc are addttional insureds with respect to General Laability
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
PO Box 580
Fort Collins CO 80522
USA
S}IOULD AIIY OF THE ABOVE DESCR'SED POUCIES AE CANCELLEO BEFORETHE EXPIRATION DATE THEREOF, NOTICE $'ILL AE DELIVERED IN
ACCOROANCE WTH THE POLICY PROVISIONS.
FIZEO fiEPNESENTANVE
O 1988.2015 ACOHD COBPORAION. Alt rights reserved.
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