HomeMy WebLinkAboutLund-Ross Constructors Inc - Insurance Certificate 2024 ACCP CERTIFICATE OF LIABILITY INSURANCE r
ATE(MM/DD/YYYY)
12/21/20,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR
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
FNIC NAME: Lynn Haugen
P.O. Box 45279 LA_.PHONE
No Ext:402-861-7000 _ jg� No);
Omaha NE 68145 nDoaless: lynn.haugen@fnicgroup.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:The Cincinnati Insurance Co _ 10677 _
INSURED LUN34221 INSURER B:The Cincinnati Indemn>ty Co_ 23280
Lund-Ross Constructors, Inc. - —_____—_
4601 F Street INSURER C:
P.O. Box 3688 INSURER D:
Omaha NE 68103 — — -- --——
INSURER E: _
.__ INSURER F:
COVERAGES CERTIFICATE NUMBER: 117351674 REVISION NUMBER:
THIS IS TO CERTIFY I HAT 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.
IN SR .ADDL.SUBR I POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE _ WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
A X_COMMERCIAL GENERAL LIABILITY EPP0458713 1/1/2024 1/1/2025 EACH OCCURRENCE _ $1,000,000___
DAM_AG E
—� CLAIMS-MADE []OCCUR PREMISES�a occurrence) $500,000
----- --------- MED EXP(Any one person)—_ $10,000 _____
PERSONAL&ADV INJURY $1,000,000 ___
GEN'L AGGREGATE LIMIT APPLIES PER: �GENF�LAGGREGATE $2,000,000
POLICY r� PRO- l—.1 JECT � LOC ODUCTS-COMP/OP AGG $2,000,000
OTHER_ _^ ------- -$
A AUTOMOBILE LIABILITY i EPP0458713 1/1/2024 1/1/2025 COMBINED SINGLE LIMIT
Ea accident 1,000,000
X ANY AUTO j BODILY INJURY(Per pes.nL $
ALL OWNED SCHEDULED
._AUTOS AUTOS IL BODILY INJURY(Per accident) $
X HIRED AUTOS NON-OWNED --- $ ----_—
X AUTOS PerOa cidentDAMAGE
A X UMBRELLA LIAB X OCCUR FPP0458713
— 1/1/2024 1/1/2025
LIAB I EACH OCCURRENCE $10,000,000
--'—
EXCESS CLAIMS-MADE _ _ S 10,000,000
---� AGGREGATE
�_D ED RETENTION S �$
B WORKERS COMPENSATION EWC0463530 1/1/2024 1/1/2025 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N I STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE CH ACCIDENT $1.000,000
OFFICER/MEMBER EXCLUDED? N/A E.L.E
_
If(Mandatory in and E.L.DISEASE-EA EMPLOYE _$1,000,000 __Dyes,describe under I_ _ __ __
DESCRIPTION OF OPERA-rIONS below _ E.L.DISEASE-POLICY LIMIT $1,000.000
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
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 ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins CO 80522-0580 AUTHO ED REPRESSEENTAT�IV
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
