HomeMy WebLinkAbout493752 CCI HOUSE & BUILDING MOVING INC - INSURANCE CERTIFICATE�R�® CERTIFICATE OF LIABILITY INSURANCE OP ID LJ
DATEIMM07/1V)
08/07 12
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
NAME:
Maguire Agency
1935 West County Road B-2,#241
PHONE FAX
(M, INC, Nol:
ADDRESS:
Roseville MN 55113
PRODUCER
CUSTOMERIDN' CCIBU-1
INSURER(S) AFFORDING COVERAGE
NAICN
Phone:651-638-9100 Fax:651-638-9762
INSURED Il 1y
INSURER A: Travelers Insurance Companies
CCI House & Building —\
Moving Inc.
8257 Scenic Ridge Court
Ft. Collins CO 80528
INSURER B:
INSURER C:
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.
INSR
TYPE OF INSURANCE
NSRI
BR—LTR
MD' POLICY NUMBER
(FOLIC 1-EFF)
PODCVEF
POLICPEX
(MM/DDIY1'YY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE1*1 OCCUR
X
660-542BC784
OB/24/1
OB/24/13FPREMSESEorDence)
EACH OCCURRENCE
$ 1,000,000
$100,000
MED EXP (My one person)
$5,000
PERSONAL B ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PROECT LOC
POLICY FX7 J
PRODUCTS - COMPIOP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALLOWNEDAUTOS
SCHEOULEDAUTOS
HIRED AUTOS
NON-OWNEDAUTOS
BA7043C959
08/24/ 1208/24/1
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS MADE
EACH OCCURRENCE
Is
AGGREGATE
$
DEDUCTIBLE
I RETENTION $
$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY VIN
ANY PROPRIETOR/PARTNER/EXECUTIVF❑
OFFICER/MEMBER E%CLUDED?
(Mandatory in NH)
It yes, desuiEe under
DESCRIPTION OF OPERATIONS below
NIA
W A - -
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E. L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
1 $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
XFTCOLL I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ft. Collins
P.O. Box 580
Ft. Collins, CO 80522
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD