HomeMy WebLinkAboutTrans Colorado Excavation LLC - Insurance Certificate 2025 A CERTIFICATE OF LIABILITY INS DATE(MM/DD/YYYY)
INSURANCE 12/1
3/20
24
PFF0
ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF
ANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
FICATE HOLDER.
TANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. I}
GATION IS WAIVED, subject to the terms and conditions of the Policy, certain policies may require an endorsement. A statement on this
ate does not confer rights to the certificate holder in lieu of Such endorsement(s).
TED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
FFICE:P.O.BOX 3281A/c,No,Extl:888 333 4949NA,MN 55060 E-MAIL (A/C,Nol:507-446-4664
ADDRESS:CLIENTCONTACTCENTER®FEDINS.COM
INSURERS AFFORDING COVERAGE NAIC//
INSURED
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
TRANS COLORADO EXCAVATION LLC INSURER B:
541 E GARDEN DR UNIT S INSURER C:
WINDSOR,CO 80550-3150 INSURER D:
INSURER E:
COVERAGES INSURER F:
CERTIFICATE NUMBER:17 THIS REVISION NUMBER:0 O C ERTIFY THAT THE POLICIES TE INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE
SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. D HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
INSR ADDL SUBR
LTR TYPE OF INSURANCE INSR WVp POLICY NUMBER POLICY EfF POLICY EXP
MMIDD/YYYV MM/DDIYYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $1,OOD,000
CLAIMS-MADE OCCUR DAMAGE TO ENTED PREMISES
Ea occurrence $100,000
A Y N MED EXP(Any one person) EXCLUDED
9167934 02/01/2025 02/01/2026
X P LILY AGGREGATE LIMIT APPLIES PER: PERSONAL S. RE INJURY $1,000,000
X POLICY F:ECo- ❑LOC GENERAL AGGREGATE $2 000 000
LL�JF"
OTHER: PRODUCTS E COMP/OP ACC $2,000,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
X ANYAUTO (Ea accident) $1,000,000
A BODILY INJURY(Per Person)
OWNED AU"ONLYTOS Y SquHOEDULED N N 9167934 02/01/2025 02/01/2026 BODILY INJURY(Per Accident)
HIRED AUTOS ONLY A�N OWNED
ONLY PROPERTY DAMAGE
Per Accident)
X UMBRELLA LIAB X OCCUR
EACH OCCURRENCE $5,000
A EXCESS LAB ,000 CLAIMS-MADE N N 9167937 02/01/2025 02/01/2026 AGGREGATE
DIED RETENTICN $5,000,000
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN PER STATUTE THER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N/A E.L EACH ACCIDENT
(Mandatory In NH)
If yes,describe under DESCRIPTION OF OPERATIONS E.L DISEASE{q EMPLOYEE
I
E.L DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addlllonal Remarks Schedule,may be attached if more space Is required)
CERTHOLDER IS NAMED AS ADDITIONAL INSURED.
CERTIFICATE HOLDER
CITY OF FORT COLLINS CANCELLATION
281 N COLLEGE AVE 17 0 SHOULD ANY OF THE ABOVE DESCRIBED
FORT COLLINS,CO 80524-2404 POLICIES BE CANCELLEDBEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE)J n
l
2075 ACORD CORPORATION-All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of AC RD