Loading...
HomeMy WebLinkAbout120116 BESTWAY CONCRETE CO - INSURANCE CERTIFICATErlrnnffi 78517 ACORN6OB CERTIFICATE OF LIABILITY INSURANCE DATE DNYYY) 02/2/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O Box 578 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR 4687 W 18th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Greeley CO 80632 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER Travelers Insurance Company Bestway Concrete Company INSURER a Gre at American Excess Liability Div 301 Centennial INSURER PlnnacolAssurance Milliken CO 80543 3222 54 INSURER D NSURER 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD POLICY EXPIRATION TE EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx] OCCUR 630956OA36STIL08 03/01/08 03/01/09 EACH OCCURRENCE $1000000 DAMAREMGE TO RENTED $100OOO $5 000 MED EXP (Any one person) PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE $2 OOO OOO GEN L AGGREGATE LIMIT APPLIES PER PRO LOC POLICY JE PRODUCTS COMP/OP AGG s2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON OWNED AUTOS 8109560A365TILOB 03/01/08 03/01/09 COMBINED SINGLE LIMIT (Ea accident) $1 OOOOOO BODILY INJURY (Per parson) $ X BODILY INJURY (Per accdent) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTOONLY EAACCIDENT $ OTHEHAN EA ACC AUTO ON AUTO ONLY qGG $ $ B EXCESS/UMBRELLA LIABILITY X1 OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ O TUU5680546 03/01/08 03/01/09 EACH OCCURRENCE $2000000 AGGREGATE s2.000.000 $ $ C WORKERS COMPENSATION AND LIABILITY PROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes describeunder SPECIAL PROVISIONS below 4026925 03/01/08 03/01/09 X WORSTATU IEMPLOYERS LIMANY E L EACH ACCIDENT $500000 EL DISEASE EA EMPLOYEE $SOO OOO EL DISEASE POLICY LIMIT 1$500.000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CITY OF FORT COLLINS P O BOX 580 FORT COLLINS CO 80522 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1D_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LNSILITY OF ANY KIND UPON THE INSURER RS AGENTS OR ACORD 25 (2001/08) 1 of 2 i1Sd07267111,11 69 FIMI O ACORD CORPORATION 198E 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 ACORD 25S (2001/081 9 . f 9 HQAA71 R71AAAn71e0