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HomeMy WebLinkAboutL & M Enterprises, Inc. - Insurance Certificate 2024 '4�C)R"® CERTIFICATE OF LIABILIT Y INSURANCE DATE(MM/DD/YYYy) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.T 2/18/2024 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Ewing-Leavitt Insurance Agency, Inc. PHONE Renee McReynolds c No Ex : (970)679-7344 FAX DDREs 5689 McWhinney Blvd. E-MAIL ac No As: renee-mcreynolds@leavitt.com (966)456-6160 Loveland CO 80538 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Selective Insurance Group, Inc. 12572 L & M Enterprises, Inc. INSURER B:Pinnacol Assurance 41190 P 0 Box W -INSURER C:Capitol Specialty Insurance 10328 735 E. Highway 56 INSURER D: Berthoud CO 80513 INSURER E: COVERAGES INSURER F CERTIFICATE NUMBER:i/1/25-26 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS S UED TO THE INSURED PERIOD NAMED ABOVE FOR THE POLICY INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BEE ISSUED OR MAY PERTAIN,THE INSURANN CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP X COMMERCIAL GENERAL LIABILITY MM/DD/YYYY MM/DD/YYYY LIMITS A CLAIMS-MADE OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED x Blkt Addl Insureds X PREMISES Ea occurrence $ 500,000 x Blkt Waiver Subrogation S 2302880 025 /2/l/2024 2 1/2 MED EXP(Any one person) $ 15,000 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: JECT LOC GENERAL AGGREGATE $ 2,000,000 POLICY H]PRO- OTHER: PRODUCTS-COMP/OPAGG $ 2,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT A X ANYAUTO Ea accident $ 1,000,000 ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS X S 2302880 2/l/2024 2/1/2025 BODILY INJURY(Per accident) $ x HIREDAUTOS X AUUTOSSWNED PROPERTY DAMAGE X Blkt WOS X Blkt Addl Insureds Per accident $ X UMBRELLA LIAB m Medical payments $ OCCUR Follow For over AL/GL/EL A EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000.000 DED RETENTION$ 0 S 2302880 2/1/2024 2/1/2025 WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY Incl Blkt Waiver Subrogation X PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE ER B OFFICER/MEMBER EXCLUDED? F NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory b under 4188429 1/1/2025 1/l/2026 Dyes,describeunder E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Contractors' Pollution EV20190041-07 1/1/2025 1/1/2026 $2 Mil OcrJ52 mil Aggregate A Installation Fltr-$1,000,000 s 2303aso 2/l/2024 2/l/2025 Leased/Rented Equip$15o,o00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder, its officers, agents and employees are named additional insured as respects both general and auto liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN P O BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE R McReynolds/RESTEI �,`rnfa ©1988-2014 ACORD CORPORATION. All rights reserved. INS025(201401) ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD