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HomeMy WebLinkAbout103910 ARAGON IRON & METAL CORP - INSURANCE CERTIFICATE (4)Client#: 12935 ARAIR ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 09/26/2011 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 CONTACT Jennifer Winter NAME: PHONE FAX A/C No Ext : 970 266-7127 AM No):970 506-6846 AooREss: Jennifer.Winter@fpinsurance.com Greeley, CO 80632 970 356-0123 PRODUCER CUSTOMER ID k: INSURER(S) AFFORDING COVERAGE NAICa 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 O: 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 INDICATED, NOTWITHSTANDING ANY REGUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMIT A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR 02LX0062627254 10/01/2011 10/01/201 EACH OCCURRENCE is2,OOO,000 PREMISES Ea occur RENTEante MED EXP (Any one person) PERSONAL&ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PIFCTRO LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILELIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS Drive Other Car I 02CA0062696974 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT (Ea aceidenl) $1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X X $ $ B 1( UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE OIUD0004075364 10/01/2011 .. 10/01/2012 EACH OCCURRENCE s2000000 AGGREGATE s2,000,000 DEDUCTIBLE RETENTION 10000 $ X $ Q WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEY/N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Use, describe under DESCRIPTION OF OPERATIONS be NIA 3081185 3/01/2011 03/01/201 X WC STATU- OTH- E.L EACH ACCIDENT 51,000000 E.L. DISEASE - EA EMPLOYEE S1,000,000 E. L. DISEASE - POLICY LIMIT 1 $1000000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more apace 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 F/000c T I zfie. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 1 #S648553/M648550 The ACORD name and logo are registered marks of ACORD JZS Client#: 12935 ARAIR ACOR0. CERTIFICATE OF LIABILITY INSURANCE GATE(Mm09/6/2026/20/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 policy(les) 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 CONTACT NAME: ,Jennifer Winter PNONE g70 266-7127 FAX ac No EXt : A/C, No : 970 506-6846 AODREss: Uennifer.Winter(gfpinsurance.com CUSTOMER 10 #: INSURER(S) 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: 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 CONTRACTOR 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 Iii TYPE OF INSURANCE AWL OJL POLICY NUMBER MWDDffYYY MM/DD/YYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR 02LX0062627254 10/01/2011 10/01/2012 EACH OCCURRENCE S11000000 PREMISES Ea occurrence 11300,000 VIED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN-L AGGREGATE UMIT APPLIES PER: X POUCY PRo- LOC PRODUCTS - COMP/OP AGG $2,000,000 S A AUTOMOBILE LIABILITY ANY AILHO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNEDAUTOS Drive Other Car 02CA0062696974 10/01/2011 10/01/2012 CO BINEDtSINGLE UMIT $(Ea1.000.000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ X X $ X $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE OIUD0004075364 10/01/2011 10/01/201 EACH OCCURRENCE $2 OOO OOO AGGREGATE $2 ODO OOO X DEDUCTIBLE RETENTION 10000 $ Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YfN ANY PROPRIETOWPARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 3081185 3/01/2011 03/01/2012 X WC STATU- OTH- EL EACH ACMDENT $1:000000 E. L. DISEASE -EA EMPLOYEE $1,DDD,000 E. L. DISEASE -POLICY LIMIT I S1,000000 DESCRIPDON OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace 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. Flooat r oa.ate�So.�l ,crivt✓r'a.Llcn ,yat. Of 988-2009 ACORD CORPORATION. All rights reserved, ACORD 25 (2009/09) 1 of 1 #S648552/M648550 The ACORD name and logo are registered marks of ACORD JIZS-