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HomeMy WebLinkAboutVOGEL CONCRETE - INSURANCE CERTIFICATE (3)_ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID KH DATE (M3.5 VY) VOGEL-1 07 15 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 # INSURED ___. ......_..... -_ INSURER A: P1nnaC01 ASSllranCE! INSURER B. Vogel Concrete, Inc. INSURER C: 6330 S College Ave INSURER D'. Fort Collins CO 80525-4044--------- Lsnja:faaW, 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. FIY EFFECTIVE PO ION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDM' DATE MMIOD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY N A / -DAMAGES( RENTED PREMISES (Ea NTEDnce) § CLAIMS MADE n l OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY S GENERAL AGGREGATE 5 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ POLICY HE LOC ECT AUTOMOBILE ---, LIABILITY COMBINED SINGLE LIMIT ANY AUTO N/A / (Ea accident) $ - - ALL OWNED AUTOS BODILY B SCHEDULED AUTOS (Per (Per person) persoru, $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Pet accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO N/A EA ACC OTHER THAN $ --- AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 7 OCCUR CLAIMS MADE N/A AGGREGATE $ 5 DEDUCTIBLE S RETENTION $ § WORKERS COMPENSATION AND %{ I TO RYLI MITS I I ER A EMPLOYERS' LIABILITY 4102132 07/01/08 07/01/09 EL EACH ACCIDENT '-- $100000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100000 If yes, describe under E.L. DISEASE -POLICY LIMIT --___ ----- $5000D0 SPECIAL PROVISIONS below OTHER N/A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CEK I IFICA It HOLIJEK CANCELLATION FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL City OFt.B. O-Neill Collins J B Attn: James B. O'NIMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPRESENTATIVES. Ft. Collins, CO 80522-0580 AUT '*AEgRESEftATIJ ACORD 25 (2001108) IS, AC(1RF1 Cl1RPORATI(1N IOAR 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.