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HomeMy WebLinkAbout103910 ARAGON IRON & METAL CORP - INSURANCE CERTIFICATErRe..rrr• ��o�s ARAIR ACORD.CERTIFICATE OF LIABILITY INSURANCE DATE1'YY) 02/22/201v2011 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 endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 CO TACT NAME: Jennifer Winter FAX AHONEIC, No Ext , 970 266-7127 A/C, No), 970 506-6846 AIL ADDRESS: Jennifer.Winter@fpinsurance.com Greeley, CO 80632 1I 970 356-0123 I p O 1111 PRODUCER CUSTOMER ID #: INSURERS) AFFORDING COVERAGE NAIC # INSURED Aragon Iron & Metal Corp 516 Highway 287, North Fort Collins, CO 80524 INSURER A: Granite State Insurance INSURER B National Union Fire Insurance INSURER CPinnacol Assurance INSURER D INSURER E : INSURER F : rn1/COAGCc rFRTIRrATF NI IMRFR- 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 LUL TYPE OF INSURANCEnaL ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYV LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR 02LX0062627253 10/01/201010/01/2011 EACH OCCURRENCE $1000000 DAMAGE RENTED PREM SESOEa occurrence) S300OOO MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- n LOC PRODUCTS - COMP/OP AGG 52,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car 02CA0062696973 10/01/2010 10/01 /2011 COMBINED SINGLE UMIT (Ea accident) S 1 DDD 000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) 5 PROPERTY DAMAGE (Per accident) $ X X S X S B UMBRELLA LAB EXCESS LIAR OCCUR CLAIMS -MADE OlUD0004075363 10/01/2010 10/01/2011 EACH OCCURRENCE 52DOD000 AGGREGATE s2,000,000 DEDUCTIBLE RETENTION S 10000 S X S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 1 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 3081185 3/01/201, 03/01/201 X WCSTATU- OTH- TORYLI IT ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEEI $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) Certificate Holder is listed as an Additional Insured. City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 6'Ieodt , ZUJ41. ACORD 25 (2009/09) 1 of 1 #S593498/M593495 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JZS ARAIR ACORD.. CERTIFICATE OF LIABILITY INSURANCE °oy22/2011 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 endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONT CT NAME: Jennifer Winter PHONE 970 266-7127 AC, Ne ; 970 506-6846 A/C No Ext ADDRESS: Jennifer.Winter@fpinsurance.com PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Aragon Iron & Metal Corp 516 Highway 287, North Fort Collins, CO 80524 INSURER A: Granite State Insurance INSURER BNational Union Fire Insurance INSURER CPinnacol Assurance INSURER D: INSURER E: INSURER F: rMMDAr-Cc rFRTIFIr ATF NIIMFi 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. INSH TYPE OF INSURANCE NDDCY VD I POLICY NUMBER EFF MIDDNYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE �, OCCUR .UL 02LX0062627253 10/01/201010/01/2011 EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISES Ea occurrence) $300OOO MED EXP (Any one person) $10,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- LOC PRODUCTS - COMP/OP AGG 52,000,000 $ A - AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car I 02CA0062696973 I 10/01/2010 10/01/2011 COMBINED SINGLE LIMIT (Ea accident) S 1.000.000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X X S B X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE 01 UD0004075363 10/01/2010 10/01/2011 EACH OCCURRENCE $2 OOO OO0- AGGREGATE s2,000,000 DEDUCTIBLE RETENTION S 10000 S X S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE" OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 3081185 3/01/2011 03/01/201 X WCSTATIT OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE 51,000,000 E.L. DISEASE - POLICY LIMIT S1,000 OOO DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 `/oact v 9.Irr�so� , zoc. ACORD 25 (2009/09) 1 Of 1 #S593497/M593495 01988-2009 ACORD CORPORATION. All rights resenred. The ACORD name and logo are registered marks of ACORD JZS