Loading...
HomeMy WebLinkAbout490880 INGRAM DRILLING INC - INSURANCE CERTIFICATEClient# 25458 INGDR ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE 05/0912012Yn 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 certRlcate holder Is an ADDITIONAL INSURED, the pollcy(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 Ileu of such endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P.O. Box 576 Greeley, CO 80632 970356-0123 NAME: Kelly Beauvais ' PHONE 970 356-0123 9705066836 NACANo Est: ABC, No: ADDRESS kelly.beauvais@floodandpelerson.com CUSTOMER ID INSURER(S) AFFORDING COVERAGE NAICA INSURED pp INSURER A, The Hartford Insurance 30104 ��p Ingram Drilling, Inc. `x l0 0 p b P O Box 342 INSURER 8: Estes Park, CO 80517 INSURER C: 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 PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WBH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY1-I'IE POLICIES DESCRIBED IIEREIN IS SUBJECT 10 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSfl LTP rypE OF DDL NSR UBR YVD POLICY NUMB ER POLICY EFF MMID IPYVVV POLICY E%P MMIDDIYY OMITS A GENERALDABILITY X COMMERCIAL GENERAL LIABIUW CLAIMS -MADE OCCUR 04UUNOJ3239 0610112012 06/01/2013 EACHOCCURRENCE $1 000 000 PREMISES Eaocwnwm) s3000OO MED EXP(MYone Person) $10000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'LAGGREGATE POLICY LIMIT APPLIES J!TPRO PER'. LOC PRODUCTS-COMP/OP AGG $2000000 $ A AUTOMOBILE LIABILITY ANYAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS 04UUNOJ3239 6/01/2012 06/01/201 CO M BI NEDSINGLE LIMB (Eeeccidenp $1000000 X BODILY INJURY (Per person) $ BODILY INJURY(Per acadent) $ 1 PROPERTY DAMAGE (Per acadent) $ X X $ UMBRELLA DAB EXCESS DAB OC CUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ S A WORKERS COMPENSATION AND EMPLOYERS' LIABILRY ANY PROP RI ETORIPARTNE P/EXECUTIV E YIN (Man Eatory In EXCLUDED? If es dexrbe under DESLIRI PTION OF OPERATIONS below N/A 04WEOJ3731 6/01/2012 06/01/201 7( we STATU- OTH- E. L. EACH ACCIDENT $1000000 EL DISEASEEAEMPLOYEE $1000000 EL.DISEASE -POLICY LIMIT S7000000 DESCRI PTION OF OR ERATIONS I LOCATIONS I VEHICLES (Anach ACORD 101, Additional Romarke Bahedula, If more apace Is roqulmd) City of Fort Collins Attn: Purchasing PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POUCI ES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-20D9 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACERB #S695370/MG95367 SXC