HomeMy WebLinkAboutUnited Materials LLC - Insurance Certificate 2024 - 2025oiQd
o21112025
THIS CERTIFICATE IS ISSUEO 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 OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate hold6. is an ADDITIONAL INSURED, lhe policy(ies) must have AODITIONAL INSLTRED provisions or be endorsed
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statemenl on
this certificate does not conf€r rights to the certilicate holder in lieu of such endorsement(s).
PRODUCER
Moody lnsurance Agency. lnc
8055 East Tufts Avenue
Suite 1000
Denver co 80237
l\,,loody lnsurance Agency
(303)824,6600 (303) 370-0116
ADORESS cerirequesl@moodyins com
II{SU RERIS) AFFO RDING COVERAGE
tNsuRERA. Contrnental lnsurance Company 35289
INSURED
United ldaterials LLC
PO Box 16049
Denver co 80216-004s
t suRERB. Pinnacol Assurance 41190
INSURER C
INSURER O
IIISURER E
CERTTFTCATENUMBER: CL2s2ll23s63COVERAGES REVISION NUMBER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AEOVE FOR THE POLICY PERIOD
INDICATEO. NOTWTHSTANDING ANY REQUIREMENI TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO WI-IICH TH]S
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUEJECT TO ALT THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMiTS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS
INSR TYPE OF INSURANCE
EACB OCCURRENCE $ 1,000,000
PREMISES rEaoccunoncel $ 100 000
MEO EXP (A.v one person)$ 15 000
PERSONALAADV NJURY $ 1,000 000
GENERALAGGREGAIE s 2,000 000
s 2.000 000
COMMERC IAL GEN ERAL LIABILITY
GEN LAGGREGATE LIM TAPPL ES PERx
OTHER
LOCJECT
4032528177. CANCELLED 061a112a24 o21o5t2025
!
COMBINED SINGLE LIM T s 1 000 000
BODILY NJURY (PeI leTson)5
BOD LY NJLTRY lPer accldenl)s
5
OVINEO
AUTOSONLY
HIREO
AUTOS ONLY
AU-TOi/lOAILE LIAgILITY
SCHEDULED
AUTOS
NON.O!4NED
AUTOS ONLY
6049599020. CANCELLED 061o1t2024 12t2812024
S
Xx EACH OCCURRENC€s 5 000 000
EXCESS t-tAB
OCCUR
CLAIMS.MAOE AGGREGATE s 5 000 000
DED RETENT ON S 10,000
4032528163, CANCELLED a6la1t2a24 12t28t2024
SxSTATLJTE
OTH
E L EACAACCIOENT s 500 000
E L O SEASE EA EMPLOYEE $ 500,000
B
II'ORKERS COfl PENSAIION
AIIO EIIPLOYERS' LIABILITY
ANY PROPR ETOR/PARTNEREXECI,JT VE
OFF CER/MEMBER EXCLUOED?
OESCRIPT ON OF OPERATIONS bd@
N 3097982 1Ala1l2A24 10to1t2025
E L D SEASE. POLCY LIMIT $ 500,000
OESCRIPIION OF OPERAIIONS / LOCATIONS /VEHICLES (ACORD 101, Addational Remarts Sch€dule, m.y be atlached ifmor. sp.ce is requir.d)
III
CERTIFICATE HOLOER CANCELLATION
City of Fort Collins Communily Oevelopment & Neighborhood S€rvices
281 North College Avenue
PO Box 580
Fort Collins CO 80522-0580
I
SHOULD ANY OF THE AAOVE DESCRIAED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION DATE fHEREOF, NOTICE WLL BE DELIVEREO IN
ACCOROANCE WTH THE POLICY PROVISIONS.
AUTHORIZEO REPRESENTATIVE
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ACORD 2s (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
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O 1988-20'15 ACORD CORPORATION. All rights reservGd.
The ACORO name and logo are registe.ed marks of ACORD