HomeMy WebLinkAboutDFC CONCRETE - INSURANCE CERTIFICATERWDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
ftnacol Assurance AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
7501 E Lowry Blvd CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER CO 80230-7006 AFFORDED BY THE POLICIES BET OW. _
! INS'IIRED
DEC CONCRETE LLC
j 432 HAVEN DR
FORT COLLINS CO 80526
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
IIWTWITHSTANDING ANY REQUIREMENT, TERM AND 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.
CO I TYPE OF INSURANCE I POLICY NUMBER I POLICY EFFECTNE I POLICY EXPIRATION I LIMBS I
COMMER GENERAL LIABILITY
C AIMSMADB OCCUR
OWNER'S & CONTRACTOR'S PROT
I
PRODUCTS - COMP/OP AGG
PERSONAL &ADV INJURY
EACH OCCURRENCE
PARE DAMAGE (, rae)
MED
I
iHJREDAUTOS
AUTOMOBILE LIABH.ITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
NONOWNEDAUTOS
COMBINED SINGLE LIMIT
E(IDMY INJURY
BODILY INJURY
.0
PROPERTY DAMAGE
GARAGELWBILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT
OTHER THAN AUTO ONLY
EACH ACCIDENT
1
EXCESS LIABILITY
UMERBLLA FORM
OTHER THAN UMBRHLLA PORM
EACH OCCURRENCE
AGGREGATE
I
A
W OREERS COMPENSATION AND
EMPLOYERS' LIABLITY
THE PROPMETORIPARTNERS/ H INCL
EXECUTNE OFFICERS ARE: EXCL
4080273
04/29/2004
05/01/2005
XWC STATU- OTHER
TORY LIMITS
::.................:.:.:.........:
EL EACH ACCIDENT
$100,000
EL DISEASE POLICY LIMIT
$500,OW
EL DISEASE EA EMPLOYEE
$100,000
OTHER
DESCRIPTION OF OPERATIONS;LOCATIONSNEHICLnISPE I1 MMS
' SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
' 764801
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THE CITY OF FORT COLLINS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
215 N MASON
0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PO BOX 580
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
FORT COLLINS CO 80522
LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
i
Wanda Paddock
New Business Representative
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