HomeMy WebLinkAboutRANACK CONSTRUCTORS - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID RC DATE(MMIODnrYY)
RANAC-1 06 16 08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4848 Thompson Pkwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Johnstown CO 80534
Phone:970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIC#
Ranack Constructors, Inc
652 S Cty Road 9E
Loveland CO 80537
INSURER A: Colony Insurance
INSURER 8: Pinnacol Assurance
INSURER C.
INSURER D'
INSURER 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.
INS TlD' __...._. __._—.
POLICY EFFECTIVE POLICYEXPIRATIR NSft TYPE OF INSURANCEPOLICY NUMBER DATE MM/DD/YY DATE MMIDD/YY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERALLIABILITV
02/02/08
02/02/09
DAVXGE TOE TEDA
PREMISES(Ea eccurence)
$100,000
CLAIMS MADE � OCCUR
rGL3595385
_
._]
MED EXP (Any one person)
$ 5 , 000
X BLNKT ADD'L INS.
PERSONAL &ADVINJURY
$1,000,000
GENERAL ABER EGATE
$2,000,000
GENT AGGR EGATE LI MIT APPL IES PER'
PRODUCTS-COMP/OP AGG
$2,000,000
POLICY X PRO-
JECT LOC
-
AUTOMOBILE
LIABILITY
C
ANY AUTO
2E82430
02/02/08
02/02/09
caacddeDSINGLELIMIT
$1,000,000
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
-
--
NON-OWNEDAUTOS
BODILY INJURY
(Par accident)
$
X
PROPERTY DAMAGE
$
—
- -----
(Per accident)
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EAACC
$
$
AUTO ONLY: AGO
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$2,000,000
D
X OCCUR I__]CLAIMSMADE
CUL000615-00
04/04/08
02/02/09
AGGREGATE
b2,000,000
$
DEDUCTIBLE
-
$
RETENTION $
$
WORKERS COMPENSATION AND
X TORYLIMITS ER
B
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
4070965
07/Ol/08
07/Ol/09
-_
E.L. EACH AccI 'T
....._.. _
$1, 000,000
OPFL,ER/MFMPER E%CL 110F.01
E.L. DISEASt - EA EMPLOYEE
$ 1 000,000
r
If yes, describe under
.__.. __..
E.L. DISEASE -POLICY LIMIT $1 000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I 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.
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522-0580
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
REPRESENTATIVES.
ACORD 25 (2001/08)
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.