HomeMy WebLinkAboutLoveland Barricade, LLC - Insurance Certificate 2024 AC RU CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY)
12/31/2024
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(fes)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 CONTACT
NAME: Velia Mancha
Holmes Murphy&Associates PHONE FFAX -----_-
2727 Grand Prairie Parkway EMAILExile I aC No):
Waukee IA 50263 ADDRESS: vmancha hoimesmur h .com
INSURERS AFFORDING COVERAGE I NAIL A
INSURER A:The Burlington Insurance Company 23620
INSURED LOVBARPC1 Loveland Barricade, LLC INSURERS: Employers Mutual Casualty Company i 21415
4335 Ward Avenue INSURERC:Travelers Excess&Surplus Lines Co. 29696
Loveland, CO 80538 INSURERD: Pinna_col Assurance Company 21415
INSURERE: Nautilus Insurance Company CoTpany 17370
INSURER F
COVERAGES CERTIFICATE NUMBER:1419984072 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.
� _. - LSUBR - _ _ -r POLICY EFF POLICY EXP '
LTR
INSR TYPEOFINSURANCE -AIN D WVD, POLICY NUMBER !' MM/DDlYYYY MM/DD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY 2108GO076505 1/1/2025 111/201/ EACHOCCURRENCE $1,000,000
X r-J CLAIMS-MADE X j OCCUR _ffAM GESA T D
PREMISES{Ea occurrence $100,000
BI/PD De&5,000 MED EXP(Any one person) $5,000
!
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE $2,000,000
POLICY i X�JPECOT ,: LOC I ------------ ------
PRODUCTS-COIANOPAGG $2,000,000^
OTHER:
B AUTOMOBILE LIABILITY 5E95497 1/112 225 1/1/2026 COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO
BODILY INJURY(Per person) $
OWNED j SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY ~ AUTOS
X HIRED X ! NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY $LPer accident
i
C UMBRELLA LIAB X ! OCCUR CUP8S89899025NF 1/1/2025 1/1/2026 EACH OCCURRENCE $2,000,000
X EXCESS LIAB
CLAIMS-MADE AGGREGATE $2,000,000
DED j X RETENTION$in nnn $
p WORKERS COMPENSATION 4255686 12/24/2024 1/1/2026 X
AND EMPLOYERS'LIABILITY Y/N STATUTE I'ERH
ANYPROPRIETONPARTNEPoEXECUTIVE i E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? �i N I A
(Mandatory In NH) ----
II as,describe under I E.L.DISEASE-EA EMPLOYEE $1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
B :,Leased/Rented Equipment !
E Pollution/Professional Llab 15C95497 i 1/1/2025 i 1/1l2026 $100,000 Limit $1,000 Deductible
CPP202822215 1/1/2024 211/2025 $1Ma EachlAgg $5,000 Retention
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
As required by written contract or written agreement.the City of Fort Collins, its officers, agents,and employees are included as Additional Insureds under
General Liability and Automobile Liability with respect to the above referenced,per policy terms and conditions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins, Purchase Division ACCORDANCE WITH THE POLICY PROVISIONS.
215 N. Mason Street, 2nd Floor
PC Box CollinsO 80522
Fort ns AUTHORIZED REPRESENTATIVE
Fort
USA
V
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
17574: 2 ` of 2