HomeMy WebLinkAboutWestco Systems, Inc. - Insurance Certificate 2025 A� CERTIFICATE OF LIABILITY INSURANCE DATE(M /YYYY)
12l23i2D12024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
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 have ADDITIONAL INSURED provisions or 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 NAME: Shana Tamayo _
CRS Insurance BrokerageACT
PHONENo,Etji 303-996-7800 (A/C,No:303 757-7719
FAX
9780 S Meridian Blvd Suite 400 EMADDIL
Englewood CO 80112 AREss: stamayo@crsdenver.com
INSURERS AFFORDING COVERAGE NAIC#
INSURER A: Pinnacol Assurance 41190
INSURED WESTC 2 INSURERS:Westfield Insurance 24112
Westco Systems, Inc.
7396 Lowell Blvd. INSURER C:Great American Ins. Group 16691
Westminster CO 80030-4860 INSURERo:_____________
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:501379653 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF 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 OR MAY PERTAIN, THE INSURANCE 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.
ADDL,§UBRj ( -POLICYEFF POLICY EXP
ITp TYPEOFINSURANCE IN DIWVDI POLICYNUMBER MMrDD/YYYY MWDDIYYYY LIMITS
B X COMMERCIAL GENERAL LIABILITY CMM282562Y 111/2025 1/1/2026 EACH OCCURRENCE $1.000,000
41
CLAIMS-MADE X_I OCCUR DAMA O RENTED
— —
PREMISES_(Ea occurrence $500,000
MED EXP(Any one person) $5,000
I
PERSONAL&ADV INJURY $1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000
POLICY IJ JEo LJ LOC i PRODUCTS-COMPlOP AGG $2,000,000
OTHER: $
B AUTOMOBILE LIABILITY CMM282562Y 1l1/2025 1/1/2026 COMBINED SINGLE LIMIT $1,000.000
1 SEa --
X ! ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY X AUTOS ONLY (Per accident.__ -
$
B X UMBRELLA LIAS X OCCUR CMM282562Y 1/1/2025 1/1/2026 EACH OCCURRENCE $2.000.000
I
EXCESSLIAB_ CLAIMS-MADE AGGREGATE $2.000,000
DED X j RETENTION$ P&A injury Aggregate $2,000,000
A WORKERS COMPENSATION 4073650 1 1/1/2025 1/112026 X I STATUTE ERH
AND EMPLOYERS'LIABILITY
ANYPROPRIETOFUPARTNERIEXECUTIVE YNN E.L.EACH ACCIDENT $1,00_0,000
OFFICER/MEMBEREXCLUDEO?
(Mandatory In NH) N f A' E.L.DISEASE-EA EMPLOYEE $1,000,000
1
II yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
C Inland Marine EPLE443502 1/1/2025 1/1/2026 Leased/Rented Equip 100,000
Deductible 500
1
i I
DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
281 N. College Ave. AUTHORIZED REPRESENTATIVE
Fort Collins CO 80524
Jam' 01988-2015 ACORD CORPORATION, All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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