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HomeMy WebLinkAboutL & M Enterprises, Inc. - Insurance Certificate 2024-2025 TE A�® CERTIFICATE OF LIABILITY INSURANCE DA1/26/2024 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(ies)must 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: Renee McReynolds Ewing-Leavitt Insurance Agency, Inc. PHOIAIC.NE (970)679-7344 No: (866)456-6180 5689 McWhinney Blvd. ADDRESS, renee-mcreynolds@leavitt.com INSURERS AFFORDING COVERAGE NAIC# Loveland CO 80538 INSURERA:Selective Insurance Group, Inc. 12572 INSURED INSURER B:Pinnacol Assurance 41190 L & M Enterprises, Inc. INSURER C:Capitol Specialty Insurance P O Box W INSURER D 735 E. Highway 56 INSURER E: Berthoud CO 80513 INSURER F: COVERAGES CERTIFICATE NUMBER:24-25 PKG 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 CONTRACTOR 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. ILTR ADDL SUBR POLICY NUMBER MM/DDPOLICY EFF MWDDPOLICY YY LIMITS TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ x Blkt Addl Insureds X S 2302880 2/1/2024 2/l/2025 MED EXP(Any one person) $ 15,000 X Blkt Waiver Subrogation PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A X ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED S 2302880 2/l/2024 2/l/2025 BODILY INJURY Per accident $ AUTOS AUTOS X ( ) NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ X BIM WOS X Blkt Addl Insureds Medical payments $ X UMBRELLA LIAB OCCUR Follow Form over AL/GL/EL EACH OCCURRENCE $ 5,000,000 A EXCESS LUIB HCLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 0 S 2302880 2/l/2024 2/l/2025 $ WORKERS COMPENSATION Incl Blkt Waiver Subrogation x PER OTH- AND EMPLOYERS'LIABILITY 1,I N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ N/A B (Mandatory in NH) 4188429 1/1/2024 1/1/2025 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Contractors' Pollution 6V20190041-06 1/l/2024 l/1/2025 $2 Mi10ccl$2 mil Aggregate A Installation Fltr-$1,000,000 3 2103880 2/l/2024 2/1/2025 Leased/Rented Equip$150,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) re: BID 8095 Weed Cutting & Rubbish Removal; Certificate holder, its officers, agents and employees are named additional insured as respects both general and auto liability policies. The insurance evidenced by this certificate will not reduce coverage or limits and will not he cancelled except after thirty (30) days written notice has been received by the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn: Purchasing Dept ACCORDANCE WITH THE POLICY PROVISIONS. P 0 Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE R McReynolds/LAEWIN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)