HomeMy WebLinkAboutCOPE CONSTRUCTION - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID
DATE(MMIDD/YYYY)
COPEC-1
01 05 09
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown 6 Brown Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 2226
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80522-2226
Phone: 970-482-7747 Fax: 970-484-4165
INSURERS AFFORDING COVERAGE'I NAIC#
INSURED
INSURER A: Mountain States Mutual 14648
'INSURER B.
Cope Construction
Kent Cope dba
msuaeRc
PO Box 3
LaPorte CO 80535
INSURERD
I UVMR UCD
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.
INSR _____.__._ .__._._.._ ___.____... --___— -' POLICY EFFECTIVE'Pt7 OLICY EXPIRATION
LTR It t TYPE OF INSURANCE POLICY NUMBER i DATE MMIDD/YY DATE (MM/DDIYYI LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
I$1000000
A
$
X COMMERCIAL GENERAL LIABILITY
CPPO08040507
02�04�09
02�04�10
DAMAGETORENTED
PREMISES (Ea occurence)
$ 100000
CLAIMS MADE X J OCCUR
ME EX (Any one
$ IOOOO
person)
PERSONAL &ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ ZOOOOOO
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS COMP/OP AGO
�
$2000000
POLICY PRO.LOC
I JECT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(Ea aaitlent)
-1
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Perperson)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
�$
$
AUTO ONLY: AGO. i
$
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
. -.
- -
$
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORV LIMITSI _,.I_ER
ANY PROPRIETORJPARTNEP/EXECUTIVE
E L EACH ACCIDENT
- -—-
$
OFFICER/MEMBER EXCLUDED?
E L DISEASE EA EMPLOYEE
$
If yes, tlascnbe antler
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT It
$
1
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Excavation Contractor. The City of Fort Collins is included as Additional
Insured on the General Liability as respects the operations of the named
insured.
CITYFOR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX'PIRATIO
City
of Fort
Collins
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Purchasing Division
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
James
B. O'Neill II
P.O.
P.O.
Box 580
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort
Collins
CO 80522-0580
REPRESENTATIVES.
ACORD CORPORATION