HomeMy WebLinkAboutRANACK CONSTRUCTORS - INSURANCE CERTIFICATE (2)OP ID RC DATE (MM/DDIYYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE RANAC_1 02 0l 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LBN
L13N Thompson Pkwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Johnstown CO 80534
Phone:970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIL#
IURURED INSURER A. Colonv Insurance
INSURER B'.
Ranack Constructors, Inc INSURER C.
652 S Cty Road 9E INSURER D
Loveland CO 80537
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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
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYMMIDD/YY E
POLICYTI
MMIDD/YY IN
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
X BLNKT ADD'L INS.
GL3595385
02/02/08
02/02/09
EACH OCCURRENCE
$1,000,000
PREMISES (Ea occurence)
$100,000
MED EXP (Any one person)
s5,000
PERSONAL S ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
PRODUCTS - COMP/OP AGG
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY X jECT LOG
C
AUTOMOBILE
LIABILITY
L
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
2ES2430
02/02/08
02/02/09
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
8
$
B
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Ifyes, descdbe under
SPECIAL PROVISIONS below
4070965
07/01/07
07/01/08
_
X I TORY LIMITS I I ER
E.L. EACH ACCIDENT
$1,000,000
E L. DISEASE - EA EMPIUQYEE1
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / 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.
U,mm I I ILA 1 c nvLumm
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 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Fort Collins
P.O. Box 580
REPRESENTATIVES. iF
Fort Collins CO 80522-0580 AUTHORIZED REPR ENT IVE ,./
IMPORTANT
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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