HomeMy WebLinkAboutROCKY MOUNTAIN PAVEMENT MAINTENANCE - INSURANCE CERTIFICATE (2)roucynulDDer. walecDlemo: D/ze/zuuo
AC-ORD. CERTIFICATE OF LIABILITY INSURANCE 6/28/20051
1113 E. Alameda Avenue ONLY AND CONFERS NO RIGI
Denver, Colorado 80209 HOLDER. THIS CERTIFICATE DC
ALTER THE COVERAGE AFFORD
(303)778-7811
INSURERS AFFORDING COVERAGE
ROCKY MOUNTAIN PAVEMENT MAINTENANCE, INC INSURER A:ALLIED INMMANCE CO
INSURER B:
2001 W. 64TH LANE INSURER C:
DENVER, CO 80221 INSURER D:
COVERAGES
CERTIFICATE
MEMO OR
NAIC 0
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.
Waft
on
OF INSURANCE
POLICY NUMBER
WOO
POLICY ?ION
LINTS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
ACP 7501883462
6/18/2005
6/18/2006
EACH OCCURRENCE
i 1,000,000.
PREMISES EF NTEO e
$ 100,000.
MED EXP cm PMU(I)
S 5,000.
PERSONAL S ADV INJURY
i 1,000,000.
$1, 000 PD DED
GENERAL AGGREGATE
3 2,000,000.
GENL AGGREGATE LNIT APPLIES PER:
POLICY W PRO-
JECT 171 LOC
PRODUCTS - COMP)OP AM
$ 2 , 000 , 000 .
A
AUTOMOBILE
LIABILITY
AUTO
ALL OVNNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OMED AUTOS
ACP 7501883462
6/18/2005
6/16/2006
COMBINED SINGLE LIMIT
xANY
BODILY INJURY
(Per permn)
i
BODILY INJURY
(Pe, eodde^U)
$
PROPERTY DAMAGE
(Pw rlotlme)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
A
EXCESSNMBRELLA LIABILITY
OCCUR I ICLAIMSMADE
DEDUCTIBLE
RETENTION $0
P 7501883462
6/18/2005
6/18/2006
EACH OCCURRENCE
$ 4. 000, 000.
AGGREGATE
s 4,000,000.
$
$
$
YS DRKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFMERNEMBER EXCLUDED?
SPECIAL PROVIBION8 below
YOR LIMIT OTH-
E.L EACH ACCIDENT
_
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
S
A
OTHER LIMITED JOSSITE
POLLUTION COVERAGE
ACP 7501883462
6/18/2005
6/18/2006
PER CLAIM $ 100,000.
AGGREGATE $ 300,000.
DEDUCTIBLE NONE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS
CITY OF FORT COLLINS IS ADDED AS ADDITIONAL INSURED.
CITY OS FORT COLLINS
281 N. COLLEGE AVENUE
P.O. BOX 580
FT COLLINS, CO 80522-0580
25
SHOUTA ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER VLLL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 EO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND WON THE INSURER ITS AGENTS OR
AUTHORUD REPRESENTATIVE