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HomeMy WebLinkAbout195476 ADVANCED CONCRETE - INSURANCE CERTIFICATEACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID B DATE (MM ) ADVAN-7 01 31 1/0606 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Six & Geving/Denver Office 225 Union Blvd. #575 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakewood CO 80228 Phone:720-962-0930 Fax:720-962-0942 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: EMC Insurance Companies Advanced Concrete Construction Inc. INSURER B: Pinnacol Assurance INSURER C: 2902 w Mansfield Ave Englewood CO 80110 INSURER D: INSURER E: ruov 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 �01 INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MWD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX� OCCUR 2X4449407 01/01/06 01/01/07 PREMISES Eaoccurence $50 000 MED EXP (Any one person) $5 , 00 0 PERSONAL & ADV INJURY $1,000 000 a8 PSI POLICY TW= AND GENERAL AGGREGATE s 2 000, 000 CONDITIONS GEN'L AGGREGATE LIMIT APPLIES PER X POLICY j�T LOC PRODUCTS-COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO 2X4449407 01/01/06 01/01/07 COMBINED (ED&cccdenl)lNGLELIMIT $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accidwt) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR I—ICLAIMSMADE 2X4449407 01/01/06 01/01/07 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 s DEDUCTIBLE $ X RETENTION $10 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUT(VE OFFICERIMEMBER EXCLUDED? undw SPECIAL SPECIAL PROVISIONS below PROVISIONS 4077192 02/01/06 02/01/07 X I TORY LIMITS ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYE $ ZOO 000 E.L. DISEASE - POLICY LIMIT $ 5 0 0 , 000 OTHER A Leased or Rented 2X4449407 01/01/06 01/01/07 Limit $100,000 Ecruipment Ded $500 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS The Certificate Holder, City Of Ft. Collins, is named as an additional insured, except for workers compensation. Project: Trail Cherry & College Avenue City of Ft. Collins 215 N. Mason Street Ft. Collins CO 80522-0580 CFTC- 01 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT101 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 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY K020 UPON THE INSURRE' ITS AGENTS OR REPRESENTATIVES. y _, (2001108)