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Home My WebLink AboutVOGEL CONCRETE VGL INC - INSURANCE CERTIFICATE (2)EB. 6.2007- 4;124C�COLORADO-BW INSURANCE 9702672231 N0.12 arcu tAk i irICA i s ur LIAMILI I T wizuRANCE Colorado BW Insurance Agency, Inc. 1075 W Horsetooth Rd, Ste 106 Fort Collins, CO 80526 DBA: Vogel Concrete 6330 S. College Ave. Fort Collins, CO 80525 OVERA ES ATE IS ISSUED AS A MAT IFERS NO RIGHTS UPON CERTIFICATE DOES NOT INSURERS AFFORDING COVERAGE INSURERA; Auto Owners Insuranc INSURER R. INSURER C: INSURER D: INSURER E: EfA NAIC 0 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT(AIITHSTANDING 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 OE SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$. I SR mm TYPE OF INSURANCE POLICY NUMBER PO FFFECTNE PG EMRA LIMITS A GENERAL UAMUrt X COMMERCIAL GENERAL LwearTY CUU MS MADE FX] OCCUR TBD 01/17/2007 01/17/200a EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED IM i 300 MED E%P 6Ar0' one Person) S S. PERSONAL SADV INJURY S 11000,000 GENERAL AGGREGATE S 2,000 00 GEN'L AGGREGATE LIMIT APPLIES PER -1 7POLICY P�7 LOC PRODUCTS -COMPIOP AGG S 2,000 00 A AUTOMOBILE LIABILITY ANY AM —ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NO"WNED AUTOS TBD 01117 22007 61/17/2008 COMBINED SINGLE LIMB (Ea aedda,I) I 1 000, )( BODILYINJURY (Perpereon) S X BODILY INJURY (Per st6devo S X PROPERTY DAMAGE (Per aedoenq S GARAGE LU1JIRjTY ANY AUTO AUTO ONLY -EA ACCIDENT S OTHER THAN�� AUTOONLY. AGG S S EXCESSAINIR LA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE S AGGREGATE 3 S S S sIMRIpFRSCOMPENSATIONAND EIPLOYERS'LIABILITY ANY PROPRIEfOWPARTHERIEXECUTIVE OFFICERnAWo R EXCLUDED? If Yee, dor,Poe ender SPECIAL PROVISIONS Below WCSTATU• OTH- E.L. EACH ACCIDENT S E.L DISEASE -EA EMPLOYE I E.L. DISEASE • POLICY UMIT S OTHER DBSGIMPTION OF OPERATIONS I LOCH IMNS I VEHICLES I DXCLUMNS ADVED BY ENDORSEMENT I SPE ML PROVISIONS City of Fort Collins Accounting Department attn: John Stephen PO Box 580 Fort Collins, CO 80522-OS80 SHOULD ANY OF THE ABOVE pESCRIBEO PDLIDIEE BE CANCELLW BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE $HALL eHPOBE NO OBLIGATION OR LIABILITY ACORD 25 (200110B) FAX: 221-6707 CORPORATION iBBB FEB. 6.2007 4:12PM COLORADO-BW INSURANCE 9702672231 N0,125--P. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) E 20t0..7�K iirl Ci cRvi-Bi.i�►rs L�Li it Uini uRANCE NV. 117 r.02/06/ 00 PROMMM (970)223-0924 FAX (970) 267-2231 Colorado BW Insurance Agency, Inc. 1075 W Horsetooth Rd, Ste I06 Fort Collins, CO 80526 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEP. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFOR ED aY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 0 INI mw VGL, Inc. DBA, Vogel Concrete 6330 S. College Ave. Fort Collins, CO 8052S INSURERA: Auto Owners Insurance 18989 INSURER a. INSURER c INSURER0; INSURER E: e!nyFPArrFR 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. AGGREGATE LIMITS $MOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$. 1 SR TYPE OF INSURANCE POLICY NVNBER PO EFFECTNE PD S)MRA LIMITS A GENERALUANUrr X COMMEACIAL GENERAL LIAEILITY CLAILIS MADE FX OCCUR TBD 01/17/2007 01/17/2009 wH DCDURRENCE I 1.000.0w DAMAGE TO REIN $ 300 MEO ExP (Arty one person) $ 5. PERSONAL A ADV INJURY S 11000 00 GENERAL AGGREGATE S 21000,00 GEN'LAGGREGATELIMITAPPLIEBPER I-OLICYF—j jE'?T 7 LOC PRODUCTS-COMP/OPAGG S 2,o0Q 00 A AUTOMOBILE LIABIL W �( ANY AUTO -ALL OMW AUTOS SCHEDULEDAUT08 X HIRED AUTOS X NON-MMED AUTOS TBD 01/17/2007 01/17/2003 COMBINED SINGLE LIMB (Ea aedda,U a 1,000, RODILYINJURY ftiperaon) - S BODILY INJURY (Per e«idanp S PROPERTY DAMAGE (Per ooddent) S GARAGELLAMUTY ANY AUTO AUTO ONLY -EA ACCIDENT S OTHER THAN !LAOC AUTO ONLY. AGG S S EIOESSIULUMM I A LIABILITY OCCUR CLAMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE 5 AGGREGATE s S S : WOMRSCOMPENSATIOHAND EWLOYEW LIA ILITY ANFIOROEA/MHd f EXCLUDED?TN£CUTIVE Ifyvs dow-Im under SPECIAL PROVISIONS below wCSTATu OTH- E.L. EACH ACCIDENT d EL DISEASE -EA EMPLOYE S E-1- DISEASE - POLICY LIMIT I 3 4TIiER 9MRIPTWN OF OMR0611M 1 LOCATIONS I VEHICLES I EXCLUSIONS ADIAD BY ENDORSEMENT) SPEC" PpOVISpy$ City of Fort Collins Accounting Department attn. John Stephen PO Sox 580 Fort Collins, CO 80522-0590 SHGULD ANY OF THE ABWE pESCRIBED POUCIES Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS YYRTTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOBE NO OBLIGATION OR NABRITY OF ANY KINUPON THE INSURER, fTS AGfKM-DR RSARESENTATIM. AUTHORMED I MPRESEWAIWE ACORD 26 (2001108) FAX! 221-6707 CORPORATION 1988 FEB. 6.2007J 4:12PM COLORADO-BW INSURANCE 9702672231 NO.125 P. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed, A statement on this certifloate does not confer rights to the certificate holder in lieu of such endorseihent(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cert8in policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of insurance on the reverse side of this form does not constitute a contract betw9en the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108)