HomeMy WebLinkAboutRANACK CONSTRUCTORS - INSURANCE CERTIFICATE (6)ACORD CERTIFICATE OF LIABILITY INSURANCE CSR RC DATE(MMIDDIYYYY)
RANAC-1 1 02/02/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
--[
LEIN Insurance Agency-FC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1614 Oakridge Drive, Unit A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone:970-229-9304 Fax:970-229-1398
Ranack Constructors, Inc
652 S Cty Road 9E
Loveland CO 80537
INSURERS AFFORDING COVERAGE NAIC 0
INSURER A: Admiral Ins, Comp/Amarican EIS
INSURER B: Pinnacol Assurance
INSURER C: Em 10 ers Mutual
INSURER D: Rockhill Insurance Company
INSURER E:
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.
LTR
INSIR
TYPE OF INSURANCE
POLICY NUMBER
POLICY FFE
DATE MMIDD/YY
POLICY EXPIRATION
DATE MNVDDIYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1 , OOO , OOO
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
CA-000006557 02
02/02/06
02/02/07
pREMISEs(Eaoccurence)
$100,000
MED EXP (Any one person)
$ Excluded
X BLNKT ADD' L INS.
PERSONAL & ADV INJURY
$ 1 , 000 , 000
X
BLNKT WAIVER
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
17 POLICY X PRO-
JECT LOC
C
AUTOMOBILE
LIABILITY
ANY AUTO
2E8243007
02/02/06
02/02/07
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 OOO OOO
r r
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIREDAUTOS
NON -OWNED AUTOS
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
D
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
TBD
02/02/06
02/02/07
EACH OCCURRENCE
s2,000,000
AGGREGATE
$2,000,000
DEDUCTIBLE
RETENTION $
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4070965
07 Ol /05
07/01/06
X TORY LIMITS ER
E.L. EACH ACCIDENT
$1,000,000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - EA EMPLOYEE
$ 1 , 000 , 000
E.L. DISEASE -POLICY LIMIT
$1 000 000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
All Operations - All Locations. License number: B107. The City of Fort
Collins is named as an additional insured in regards to the general
liability.
CITYFCO 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 DO $O SHALL
City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
P.O. BOX 580 REPRESENTATIVES.
Fort Collins CO 80522-0580 AU RIZ REPRES j g
ACORD 25 (20011081 n ACORn CORPORATInN 1999
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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