HomeMy WebLinkAboutSuperior Traffic & Restoration Services LLC - Insurance CertificateoiQo'CERTIFICATE OF LIABILITY INSURANCE
COVERAGES CERTTFTCATE NUMBER: Masrer 25i 26 REVISION NUMBER:
0111712025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO 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: lf the certificate holder is an ADDITIONAL INSURED , the policylies) must have AOOITIONAL INSURED provisions or be endorsed
lI SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may requhe an endorcement. A statement on
this certilicate does not conrer rights to the certificale holder in lieu of such endorcement(s).
CoWesl lnsurance Services. LLC
PO. Box 910
Castle Rock co 80104
Grinder Group lns
(303)688-9597 (303)688-8858
INSURER(S) AFFORDING COVERAGE
tNsuRERA. Fireman's 21784
INSURED
SuperiorTraffc & Restoration SeNices LLC
6500 Franklin St Unil C and O
Denver co 80229
tlsURER B. Fireman's 21784
tnsuRERc. Pinnacol Assura nce 41190
rNsuRERD. Ma*eYEvanston
THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUEDTOTHE INSIJRED NAMEDABOVE FOR THE POLICY PERIOO
INOICATED NOTWTHSTANOING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO VVTIICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BYTHE POLICIES OESCRIBEO HEREIN IS SUAJECT TO ATL THE TERMS,
EXCLUSIONS ANO CONOITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAIO CLAIMS
GEN'LAGGREGATE L M TAPPLIES PER:
JECT LOC
cPA3272615 -23 011o6t2026
EACI] OCCURRENCE $ 1,000,000
$ 300,000
MED ExP lAnv one Deconl $ 10,000
PERSONAL & ADV INJI-]RY $ 1,000,000
6ENE RAL AGGREGATE $ 2,000,000
PRODUCTS. COMP/OPAGG $ 2,000,000
5
AUTOMOBILE LIABIL TY
HIREO
SCHEDULED
NON.O\ryNED
cP43272615 23 a110612025 41146t2026
COMBINED SINGLE LIMIT $ 1.000,000
BOOILY INJURY (Pdpe66)
aOOILYINJURY (Per&cident)
s
Uninsured motorist 8l-$ 1,000,000
B
x
EXCESS LIAB
x
CLAIMS.MAOE cPA3272615.23 41to612025 4114612026
$ 1,000,000
$ 1,000,000
oEo RETENTION S 5
C
YgORKERS COMPEI{SATION
AND EMPLOYERS' TIABITITY
ANY PROPRIEIOR/PARTNEIVEXECIJTIVE
OFFICER/MEMBER EXCLUOEO?
OESCRIPTION OF OPERATIONS bel
4221935 01t01t2025 0110112026
xl 35^B,,,. I
OTH-
E.L. EACHACCIDENT $ 1,000,000
EL CI:]fASf EA EI.IPLCYEE s 1,000,000
E.L DISEASE- POL CY LIIiIT s 1,000,000
D
Excess Liabl[y
MKLV4EUElOl OS3 01to6t2a25 01t0612026
Aggregale 4.000,000
DESCRIPTIOIi OF OPERATIOIIS / tOCAnOnS /VEHICLES {ACORO 101. Addlton.l Ren.rtr Schedule, nry b€ afiach€d ifnor..p&.13 r.qulr.d)
City of Fon Collins is additionalinsured as per wrillen contlact.
CERTIFICATE HOLDER CANCELLATION
CU of Fort Collins
280 N College Ave
co 80524
SHOULO ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION OATE THEREOF, NOTTCE wlLL BE OELIVERED IN
ACCORDANCE WTH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
ACORO 25 (2016/03)
O 198&2015ACORO CORPORATIOi{. All rights reserved
The ACORD n.me and logo are registered marks otACORD
] "ro'r.-roo. ffi o""r"
4114612025
Forl Collins
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