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Home My WebLink About120116 BESTWAY CONCRETE CO - INSURANCE CERTIFICATE (3)n1:....�Y. rfOG77 RFcrn ACORD.., CERTIFICATE OF LIABILITY INSURANCE DATE02/22/202/20/Y1 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 pollcy(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 endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 CONTACT NAME: Debra Morris HO NG Ea : 970 506-3211 A No ; 970 506-6836 ADDRESS: debra.morris@fpinsurance.com PRODUCER CUSTOMER ID#: Greeley, CO 80632 `� 970 356-0123 \b INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: The Cincinnati Insurance Compan Bestway Concrete Company, A Colorado Corporation 301 Centennial Dr Milliken, CO 80543-3222 INSURER B : Great American Excess Liability INSURER CPinnacol Assurance INSURER D: INSURER E INSURER F: e%nvcoernoc rFRTIFIrATF NIIMRFR• 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. TYPE OF INSURANCE DL POLICY NUMBER MM/DD/YFF POLICY EXP MWDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR CPP1076124 3/01/2011 03/01/2012 EACH OCCURRENCE $1 000,000 DAMA RE PR MISES Eaocc n nce $100 000 MED EXP (Any one person) $5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC ECT PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CPP1076124 3/01/2011 03/01/2012 COMBINED SINGLE LIMIT (Ea accident) $ . 11000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ B X UMBRELLA LIAB EXCESS uAB OCCUR CLAIMS -MADE TUU568054605 3/01/2011 03/01/201 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 DEDUCTIBLE RETENTION 0 $ X $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? Eyj] (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below WA 4026925 3/01/2011 03/01/2012 X WCSTATU- OTH- IER E.L. EACH ACCIDENT s5000OO E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT 600,000 A Equipment CPP1076124 3/01/2011 03/01/201 Blanket Limit Deductible $5 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is required) CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved.