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HomeMy WebLinkAbout108423 VOGEL CONCRETE - INSURANCE CERTIFICATEOP ID: KH ACORO"CERTIFICATE OF LIABILITY INSURANCE - - DATE (MM/DD/YYYY)ov27/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsements). PRODUCER PFS Insurance Group - JT DBA LBN Insurance Agency 970-635-9401 4848 Thompson Pkwy, Ste 200 .. Johnstown, CO 80534 Tad Borrett ,_,; • • CONTA970-635-9400 NAME: - - - PHONE FAX A/C No Ext : A/C No): E-MAIL ADDRESS: - -- PRODUCER VOGEL-1 CUSTOMER ID #: -- - INSURER S AFFORDING COVERAGE NAIC # INSURED Vogel Concrete, Inc. 6330 S College Ave Fort Collins, CO 80525-4044 INSURER A: Pinnacol Assurance 41190 INSURER B: Auto -Owners Insurance Co. 18988 INSURER C : Travelers Companies INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER- - MMIDDPOLIC�YYYY MMIDD/YYYY LIMITS _ B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X bink addl ins 74006127 01/17/11 01/17/12 EACH OCCURRENCE $ 1,000,000 PREMDAMAGE T RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000i000 $ - - B AUTOMOBILE LIABILITY ANY AUTO . • ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - 4709905200 - 01/17/11 - 01/17/12 - - COMBINED SINGLE LIMIT (Ea accident) .. _ '$- - -` 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accid_ ent) $ PROPERTY DAMAGE (Per accident) $ X X $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ _ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY — — ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below �y N / A 4102132 V 07/01/10- 07/0111T X WC STATU- OTH- T RY LIMIT ER - _E.L.'EACHACCIDENT -- - $ - 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT v $ 500,00n C Railroad Protectiv SPS-5082P509 09/23/10 09/23/11 occurrenc 2,000,00 aggregate 6,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) If required by written contract or written agreement, certificate holder is included as additional insured for ongoing operations under General Liability. FTCOLLI City of Ft. Collins Purchasing Division 215 Mason Street P.O. Box 580 Ft. Collins„ CO 80522-0580 L-7-1CO3-1iq 4G1■PI C. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD