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HomeMy WebLinkAbout128636 MCEVOY & SONS INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DDIYYYYI 0412612012 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 CONTANAMECT Brandei Taylor Western Insurance Services PHDNE 970 464-1401 (AlfFAX Nei, 970 4841453 1520 E. Mulberry Suite 140 EMAIL btayloR@_westernstatesbank.com INSUREFUSI AFFORDING COVERAGE NAIC If INSURERA,NorthlandInsurance Fort Collins CO80524 I INSURED \-1 L l L L VV v INSURER B INSURER C y McEvoy & Sons Inc. INSURER D: PO Box 279 INSURER E: INSURER F Severance CO 80546 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR WN062716 4/19/2012 4/19/2013 EACH OCCURRENCE $1,000000 DAMAGE TO RENTED $100OOO MED EXP (My oneperson) $ 5 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2000000 GENT AGGREGATE POLICY LIMIT APPLIES PRO PER: LOG PRODUCTS-COMP/OP AGG $2000000 $ AANY LIABILITY AUTO ALL OWNED X SCHEDULED AUTOS _ AUTOS HIRED AUTOS X NON -OWNED AUTOS WN062716 4/19/2012 4/19/2013 COMBINED SINGLE LIMIT(Ed accideri 1,000,000 BODILY INJURY (Per person) .$ POMOSILE BODILY INJURY (Per accident) $ PROPERTY DAMAGE inh $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE[:] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) "yes, describe F under DE RIPTI N PERATt N below N/A WC STATU- OTH- MFR E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE $ EL DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mare space Is required) Proof of insurance only °City of Fort Collins P.O. Box,580 Aftn: Purchasing Division 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 ©1988-2010 ACORD CORPORATION. All rights reserved. AGOKU 25 (2010/05) The ACORD name and logo are registered marks of ACORD