Loading...
HomeMy WebLinkAboutRHOADS - INSURANCE CERTIFICATEA R-Q CERTIFICATE OF LIABILITY INSURANCE 1zizaiz0o PRODUCER (303)824-6600 FAX (303)370-0118 Moody Insurance Agency, Inc. 3773 Cherry Creek North Drive Y Suite 800 Denver, CO 80209-3804 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Rhoads Construction, Inc 2290 E Prospect Rd Suite 6 Fort Col I ins, CO 80524 INSURERA: Travelers Indem Co of America 25666 INSURER B: Travelers Indem Co of III 25674 INSURER C: P i nnaco I Assurance INSURER D: INSURER E: CnVFRAAFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTWE POLICY EXPIRATION DATE (MMID LIMITS GENERAL LIABILITY DTC0754G5432T I A03 12/31 /2003 12/31 /2004 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS MADE a OCCUR MED EXP (Any me person) $ 5 00 A X I B I anket Add I I nsd PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,O00DO POLICY X PRO LOC JECT AUTOMOBILE X LIABILITY ANY AUTO DT810754G5432T I L03 12/31 /2003 12/31 /2004 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per Person) $ B ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAIITOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLALIABILITY DTSMCUP754G5432TIL03 12/31/2003 12/31/2004 EACH OCCURRENCE $ 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 B $ DEDUCTIBLE $ X RETENTION $ 10, OD $ WORKERS COMPENSATION AND 9114525 12/31 /2003 01 /01 /2005 WC STATU- OTH- C EMPLOYERS'LUUTILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 500,00 E.L DISEASE -EA EMPLOYEE $ SDD, DD OFFICERIMEMBER EXCLUDED? ff yes, describe under E.L. DISEASE -POLICY LIMIT $ 500,00 SPECIAL PROVISIONS beim OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Aerations of the Named Insured City of Fort Collins 215 N Mason St, 2nd Floor Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE , . Patricia McQuade, CIC, AIT/P �CA7.k � u• r� e AGURU 25 (ZOO1108) ©ACORD CORPORATION 1988