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Home My WebLink AboutMPB CONTRACTORS - INSURANCE CERTIFICATEMPBCO.1 OP ID: RP CERTIFICATE OF LIABILITY INSURANCE OAT01/27D/YYYY) F ovz7nz 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 303-867-2055 Olson & Olson Ltd. 5655 S Yosemite Street #101 303-867-2074 Greenwood Village, CO 80111 CONTACT NAME: PHOAICNE Eztj: (AIC No: E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p INSURER A: Westfield Insurance Company 24112 INSURED MPB Contractors 3155 Chambers Road INSURER B: Plnnacol Assurance Aurora, CO 80011 INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: RFVlSlr1N NBIMRFR- 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 I TYPE OF INSURANCE ADDLT MD II NUMBER POLICPOLICY MM DDYEFF /YYYY MM/DDY/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 71 CLAIMS -MADE a OCCUR TRA5122432 02/01/12 02/01/13 DAMAA E�ENTEO PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 X Per Proj Agg GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICY x PECTRO- LOG PRODUCTS - COMP/OP AGG $ 2,000,00 Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY BId COMBINED SINGLE LIMIT (Ea $ 1,000,00 X BODILY INJURY (Per person) $ A ANY AUTO TRA5122432 02/01/12 02/01/13 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Pereccident ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLAUMB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 A EXCESS UAB CLAIMS -MADE TRA5122432 02101112 02/01/13 LED I X I RETENTION$ NIL Is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA 4058803 07/01/11 07/01/12 WCSTATU- OTH- X T.ORY LIMITS I I ER E.A. EACH ACCIDENT $ SOO,QO E.L. DISEASE- EA EMPLOYEE $ 500,00 tMandatory in NH) es, d'scrilee under (DESCRIPTION OF OPERATIONS be. EL.DISEASE- POI ICY LIMIT $ 500,00 A Builders Risk TRA5122432 02 O1112 07JO1113 Building 1,000,00 Deduct 1,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) Contractor's License. CITYFO2 City of Fort Collins P.,O. 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 �Ml V 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD