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HomeMy WebLinkAboutJR ENGINEERING - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 09/28/20o 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 UPONTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Westr i an Group, Inc. DBA: JR Engineering, LLC 6050 Greenwood Plaza Blvd. Greenwood Village, CO 80111 INSURERA: Lexington Insurance Company 19437 23787 INSURERB: Nationwide Mutual Insurance Co INSURERO: Amer Guarantee Liab Ins Co 26247 INSURERD: Pinnacol Assurance 41190 INSURER E. [YIVF0A!]91S 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 ADDI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 2652452 10/01/2005 10/01/2006 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 CLAIMS MADE O OCCUR MED EXP (Any one person) $ 10,000 A PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPUES PER: PRODUCTS-COMPIOPAGG $ 2,000,00 POLICY X PRO LOC JECT Ll AUTOMOBILE X LIABILITY ANYAUTO ACPBA7501657648 10/01/2005 10/01/2006 COMBINED SINGLE LIMIT (Ea acadent) $ 1,000,00 BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NONOWNED AUTOS PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY AUC5088801701 10/01/2005 10/01/2006 EACH OCCURRENCE $ 5,000,00 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,00 C $ S DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4086235 10/01/2005 10/01/2006 X I wcsTAru- I X I OTH- D EMPLOYERS' LIABILITY ANY PROPRIETOMPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICERIMEMBER EXCLUDED7 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 B In'�ER Marine ACPCIM7501658339 10/01/2005 10/01/2006 Sch.Equip. $1,048,849 Leased/Rented Equip. $10,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 0 day notice of cancellation applies to non-payment of premium. rr1ITIFIrATr Wwnl nCR rAM1`rI I ATInAI 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, C I ty of Fort Co I I i ns BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 215 North Mason St OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 Renee Hofmann, CISR/RENEEH 440_"_� ACORD 26 (2001/08) FAX: (970) 221-6707 ©ACORD CORPORATION 1988