HomeMy WebLinkAbout107125 BIVENS TRUCKING & EXCAVATING INC - INSURANCE CERTIFICATE (10)PRODUCER
Pinnacol Assurance
7501 E Lowry Blvd
DENVER CO 80230-7006
INSURED
BIVENS TRUCKING & EXCAVATING INC
3900 IDEAL DRIVE
FORT COLLINS CO 80524
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING 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 TYPE OF INSURANCE POUCY NUMBER POLICY EPPECTWE POLICY EXPIRATION WMITS
In DATE DATR ®"
GENERAL LIABILITY GENERAL AGGREGATE
COMMHRCW. GENERAL L1ABE.ITY PRODUCTS - COMPIOP AG
G
CLAIMS MADE OCCUR PERPONAL & ADV JURY
OWNER'S & CONTRACTOR'S TROT EACH OCCURRENCE
MED EXP 2M
AUTOMOBILE LG =Y
ANY AUTO
ALL OWNED AUTOS
SCIRIDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
BODLY INJURY
�1
BODILY INJURY
C. �
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - HA ACCmBNT
OTHER THAN AUTO ONLY:
EACH ACMIINT
UMBRELLA FORM
WORKERSCOMPENSATTONAND I I I I TWC ORST TU u OTHER
EMPLOYERS' LIABILITY
A I 3241983 I 08/01/2004 I 08/01/2005 1eLEACHAOCIDENT S 1.000 000
THE PROPRMTORIPARTNERS/ WC EL DISEASE - POLICY L 1 000 e
EXE(=E OPFICERS ARE: EXCL EL DISEASE - RA EMPLOYEE 1 $1.000.000
OTHER
DESCRIPTION OF OPERATIOMILOCATIONSNEEICLE ISPECIAL ITEMS
SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
815839
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
PURCHASING DIVISION
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 REPRESENTATIVE
AUTHORIZED REPRESENTATIVE
Kristin Trujillo
HUPMAREC CSR SLppW 021=10312:31:35 3UI983 U,A : 1211511M 12:N:M M135