HomeMy WebLinkAboutROCKY MOUNTAIN PAVEMENT MAINTENANCE - INSURANCE CERTIFICATE (3)r V 11Uy IYUII fuel . UBIe Cnlereu: 6 (Ztf (ZUUb
ACORD. CERTIFICATE OF LIABILITY INSURANCE °6/28/200 "'
PRODUCER COMPREHENSIVE INSURANCE SERVICES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
1113 E. Alameda Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Denver, Colorado 80209 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(303)778-7811
INSURERS AFFORDING COVERAGE NAIC #
INSURED ROCKY MOUNTAIN PAVEMENT MAINTENANCE, INC INSURER A:ALLIED INSURANCE CO _
INSURER B:
2001 W. 64TH LANE INSURER C
DENVER, CO 80221 INSURER D:
INSURER E:
COVERAGES
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
LT
ADD'L
POLICY NUMBER
POLICY EFFECTME
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1, 000,000.
A
COMMERCIAL GENERAL LIABILITY
ACP 7501883462
6/18/2005
6/18/2006
PREMISES Ea ocarance
$ 100, 000.
CLAIMS MADE ® OCCUR
MED EXP (Any one person)
$ 5,000.
PERSONAL S ADV INJURY
$ 1 r 000 r 000
GENERAL AGGREGATE
$ 2,000,000.
$1, 000 PD LIED
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMNOP AGG
$ 2,000,000.
POLICY PRO JECT 1-1 LOC
AUTOMOBILE
LIABILITY
1,000,000.
A
ANY AUTO
P 7501883462
6/18/2005
6/18/2006
(Ea acdtlenl)BINGLELIMIT
$
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY
$
HIRED AUTOS
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per amdenp
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$ 4,000,000.
AGGREGATE
$ 4, 000, 000.
OCCUR I 1 CLAIMS MADE
CP 7501883462
6/18/2005
6/18/2006
A
$
$
DEDUCTIBLE
$
RETENTION $0
WORKERS COMPENSATION AND
WC STATU- OTH-
TORV LIMITS ER
EMPLOYERS' LIABILITY
ANY PROPRIETOPJPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
A
OTHER LIMITED JOBSITE
P 7501883462
6/18/2005
6/18/2006
PER CLAIM $ 100,000.
POLLUTION COVERAGE
r
AGGREGATE $ 300,000.
DEDUCTIBLE NONE
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CITY OF FORT COLLINS IS ADDED AS ADDITIONAL INSURED.
rTceTIPlcerc Mnl nco ceucol I ATInM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF FORT COLLINS
DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN
281 N. COLLEGE AVENUE
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. BOX 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FT COLLINS, CO 80522-0580
REPRESENTATIVES.
AUTHORQEO REPRESENTATIVE Mechling
AUUKU 25 (ZUUT/UU) V AGUKU GUKYUKAIIUN 1MRI