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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