HomeMy WebLinkAboutMCEVOY AND SONS INC - INSURANCE CERTIFICATEUEL.-1d-d U0b 'lcf:1.3-f'0fn:NItb1EKN 1N'v LIKHNL.E '7 f✓J4tja-I1=f53 10: tt 16 f1Uf
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE
12/1212008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Western Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATP
1520 E. Mulberry Suite 140
Fort Collins CO $0524
INSURED McEvoy & Sons Inc.
PO Box 279
Severance CO 80646
UVLRAGES
INSURER B:
THIS CERTIFICATE DOES NOT AMEN(
IF COVERAGE AFFORDED BY THE POI
INSURERS AFFORDING COVERAGE
I nc ruLlL.lcaur uva V rcgrvL.t u51 CV kbtLU W HAV EtltENISSUED I OTHE I NSUREONAMEDASOVE FORTHEPOLICYPERIODINDICATEO. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTP.ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH
THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCEAFFORDEDBYTHE POLICIES DESCRIBED HEP,EIN IS SUBJECTTO ALLTHE TERMS, EXCLUSIONSANDCONDITIONS OFSUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
II TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $1 rOOO,ODO
A I x CMAMERC)AL GENERAL LIABILITY I MCP 2438992 04119/2008 04/191200$
FIRE DAMAce yona rrg s10D,000
CLAIMS MADE I A I OCCUR
_
MEO EXP ArI Parml $5,000
PERSONAL&ADV INJURY_ $1,000,000
GENEL4LAGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
PRODUCTS • CodPIOP AGG_ $2,000,DOO
POLICY 17 PRO- LOC
AUTOMOBILE
LIABILITY
A
ANY AUTO
MCP2438992
104/19/2008
04/19/2009
IN
`EasBCNEDI5wGL6uMIT
$1,000,000
ALL OWNEO AUTOS"
x
$CHEOULEO AUTOS
600ILV INJURY
Par PBrBon)
(X
AIRED AUTOS
'
X
NON -OWNED AUTOS
ROOMY INJURY
(Per ac�idsnl)
$
PROPERTY DAMAGE
$
(Pe(accidenq
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
—--
3
ANY AUTO
i
OTHER THAN EA ACC
8
_
3
AUTO ONLY: AGG
'- EXCE984gBILITY
EACH OCCURRENCE
S
i OCCUR F:1 CLAIMS MADE
AGGREGATE
..,
DEDUC710LE
J
RETENTION S
S
WORKERS COMPENSATION AND
WO STATV. OTH
JOR�LIM
EMPLOYERS' LIABILITY
F.L. EACH ACCIDENT,
$
_-_ _
EL. DISEASE -FA FMPP1,0YEE $,___
1
E.L. DISEASE, POLICY LIMIT I $
OTHER
DESCRIPTION OF OPERATIDNgILDCATION8NEH)CLE3/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
The Certificate holder also is Additional Insured.
City of Fort Collins SHOULD ANYOF THE ABOVE P00RIDED POLICIES BE CANCELLED BEFORE THE EXPIRATION
P.Q. BOX 580 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Attn: Building &Zoning Dept. NOTICE TO THECERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURETO OO SO SMALL
Fort Collins, CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
n 1 ^ � �\ ENTATIVE?.
C/Ili- AUTHORIZED nPRESENTATIVF
Y\ S 3 _cTar
ACORD 25S (7197) 0 ACORO CORPORATION 19$$
1t:1d -rorl:WtbltKN 1NS1JKHNIa �:lrt74t4145.5 lo:l.ity of tort Lollins
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.
WAIIII