HomeMy WebLinkAboutIVERSON EXCAVATING - INSURANCE CERTIFICATEDEC 04,2006 12:25A 9703521843 page 1
Security Insurance Group, LLC
1024 90 Ave Ste D
Greeley, CO 80631
970.352.1837 Office
970,352,1843 Fax
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Date: 1 ONO
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Subject:
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Page 1 of L
DEC 04,2006 12:26A 9703521843 page 2
Amon /1C1']TIr1A ATC
OF LIABILITY
INSURANCE
DATEIMMID,YYYYI
Insurance Centers America
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Of
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2055 Anglo Dr Ste 200
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Colorado Springs, CO 80918
INSURERS AFFORDING COVERAGE
NAICS
INSURER A: ADCO GE 4PjLL
INOUntU Chad Iverson
_
Chad Iverson Excavating
INSURER B
936 Cottonwood Dr
LINSURER C
Ft Collins, CO 80524
INSURER
INSURER E
COVERAGE$
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 TERM$, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
T11NA of POLICY NUMBER POLICY EFFECTIVE POLICYEXPIRATI N --
NIRO P FIN RAN UAIF IVY DATE MMIODlYY UMItS
GENERAL LABILITY
EACH OCCURRENCE
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$ 1 DGQ-DAFAGE
X COMMERCIAL GENERAL LIABILITY
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TO
PREMISES (Ea oaurence
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$ Q,.QDO
1 CLAIMSMADE X OCCUR
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9 5, 000
PERSONAL & ADV INJURY
A
L095001180
04/11/06
04/11/07
$ 1,000 000
GENERAL AGGREGATE
$ 1 ,000,000
$ 1000-�_QQQ_
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS-COMPIOPAGO
POLICY ,,.. PRO I JECT LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE, LIMIT
$
ANYAlITO
IER emaenB
ALI OWNFO AU 108
BODILY INJURY
SCHEDULED AUTOS
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$
HIRED AUTOS
RODILYINJURY
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GARAGE LABILITY
AUTO ONLY -EA ACCIDENT
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RETENTION S
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WORKERS COMPENSATIONANU
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DESCRIPTION OF OPERATIONS/ LOfgIIONy I VFHIrI. FH I FXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE AHOVF DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATIO
ADDITIONAL INSURED:
OATS THFREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIQQ DAYS WRITTEN
CITY OF FORT COLLINSNOTICE
ATTN: PUCHA3ING DIVISION
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHAL
PO BOX 560
IRA NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OH
_
FT COLLINS CO 80522
R PRES NTA S. -
AU NORI
SENTATIVE
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970-221-6707 FAX
-
ACORD25(2001108) 7r&OWDCORPORATION1088