HomeMy WebLinkAbout107125 BIVENS TRUCKING & EXCAVATING INC - INSURANCE CERTIFICATEr
ACORD CERTIFICAR OF LIABILITY INSU ANCE
DATE (MMIDDIYY)
03/14/2003
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SKIES WEST INS AGENCY INC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2601 SOUTH LEMAY 838
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
FORT COLLINS, CO
80525
INSURERS AFFORDING COVERAGE
INSURED
INSURER A ALLIED GROUP
BIVENS TRUCKING i EXCAVATING, INC
INSURER FINANCIAL INDEMNITY COMPANY
3900 IDEAL DRIVE
INSURER
INSURER D
FORT COLLINS CO 80524—
INSURER E
Cl1VFRAGFS
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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (mmjnnryy�
POLICY EXPIRATION
DATE
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
® COMMERCIAL GENERAL LIABILITY
GLO 7570061335
06-20-2002
06-20-2003
FIRE DAMAGE (Any one fire)
$ 50,000
❑ CLAIMS MADE ® OCCUR
MED EXP (Any one person)
$ 5,000
❑
PERSONAL B ADV INJURY
$ 1,000,000
❑
GENERAL AGGREGATE
$ 2,000,000
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGG
$ 2,000,000
® POLICY ❑ PRO ❑ LOC
cCT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
❑
ANY AUTO
(Ea accMant)
❑
ALL OWNED AUTOS
B
PENDING
03-16-2003
03-16-2004
BODILY INJURY
$
®
SCHEDULED AUTOS
(Per person)
■HIRED
AUTOS
INJURY
$
❑BODILY
NON OWNED AUTOS
(Per acaEeirt)
PROPERTY DAMAGE
$
®
TRUCKERS LIAB
❑
(Per acadeM)
GARAGE LIABILITY
AUTOONLY EAACCIDENT
S
OTHER THAN EA ACC
$
❑ ANY AUTO
$
❑
AUTO ONLY AGO
EXCESS LIABILITY
EACH OCCURRENCE
$
❑ OCCUR ❑❑ CLAIMSMADE
AGGREGATE
8
$
❑ DEDUCTIBLE
Is
❑ RETENTION $
WORKERS COMPENSATION AND
WCSTATU jo OTH
E L EACH ACCIDENT
$
EMPLOYERS LIABILITY
EL DISEASE EA EMPLOYEES
EL DISEASE POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CITY OF FT COLLINS
PURCHASING DIVISION
P.O. BOX 580
FORT COLLINS
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH L FT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND THE INSURER ITS AGENTS OR
CO 80522-
(303) 662-1878 I � � �()•,"/i1 DLO„- 4
O CORD— CORPORATION 1988