No preview available
HomeMy WebLinkAbout108423 VOGEL CONCRETE INC - INSURANCE CERTIFICATE (2)OP ID: KH ACORO" lll.� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) F 06/13/11 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 endomement(s). PRODUCER 970-635-9400 PFS Insurance Group -JT 4848 Thompson Pkwy, Ste 200 970-635-9401 Johnstown, CO 80534 - Tad BOrrett ' CONTACT NAME' PHONE FAX A/C No Eat: INC, No: E"MAIL ADDRESS: PRODUCER VOGEL-1 CUSTOMER ID N: INSURER 5 AFFORDING COVERAGE NAIC Y INSURED Vogel Concrete, Inc. 6330 S College Ave Fort Collins, CO 80525-4044 INSURERA:Plnnacol 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. NSR LTRIN TYPE OF INSURANCE ADDL R SUER POLICY NUMBER MMIDDYYYYY MMLDOIYYYY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR X bink addl ins 74006127 01117/11 01/17112 EACH OCCURRENCE $ 1,000,00 PREMISES Ea cccu ante $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO n LOC IFQT PRODUCTS - COMP/OP AGO $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4709905200 01/17/11 01117112 COMBINED SINGLE LIMIT L $ 1,000,00 X BODILY (Per person) BODILYY INJURY $ BODILY INJURY (Per accident $ PROPERTY DAMAGE (Peraccident) $ X X $ $ UMBRELLA LIPS EXCESS LIP B OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ _ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ NIA — - - -- --' 4102132 07I01N1 _ _ _ __ _ 87/01/12 X WC STATU- OTH- TORLIMIT E_R EL EACH ACCIDENT $ 100,88 E. L. DISEASE -EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 C (Railroad Protectiv SPS-5082P509 09/23/10 09123111 occurrent 2,000,00 aggregate 6,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It 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 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 (2009109) The ACORD name and logo are registered marks of ACORD