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Home My WebLink About111775 KUBAT EQUIPMENT & SERVICE COMPANY INC (KESC - INSURANCE CERTIFICATE,acoRo" CERTIFICATE OF LIABILITY INSURANCE Ill CERTIFICATE Dvoo NYYY 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).. I PaooucER Moody Insurance Agency, Inc. BOSS 'Nast 'Tufts Avenue Suite 1000 Denver CO 80237 CONTACT NAME: Charlene Navarra, ACSR, CRIS ' PHONE (303)824-6600 FMXX No): '(303)370-0118 E-MAIL ,cnavarraOmoodyins.com INSURERS AFFORDING COVERAGE NAILIf INSURER A:Everest Indemnity Insurance CO INSURED `1(/ � Kubat Equipment & Service Company, Inc.(KESCO) KESCO Enterprises, LLC 1070 S Galapago St Denver CO 80223 1 INSURERB:Cinci=ati Indemnity Company 23280 INSURERC:Pinnacol Assurance 41190 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: RFVISIr1N NIIMRFa- 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 TYPE OF INSURANCE AD L BUSH POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD,YYVY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EF4ML0008111 12/1/2012 12/1/2013 DAMAGE TO RENTED PREMISES IEa occurrence $ 100, 000 VIED EXP (Any one person) $ 51000 PERSONAL B ADV INJURY $ I, 000, 000 GENERAL AGGREGATE $ 2,000,000 - _ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 X POLICY T PRO- ' LOC $ AUTOMOBILE LIABILITY -' •' - _ EOM�BINEED SINGLE LIMIT ccident) $ 1,000,000 X BODILY INJURY (Per person) $ B' ANY AUTO ALL OWNED. 'SCHEDULED+ AUTOS AUTOS HIRED AUTOS NON -OWNED' AUTOS CPP1077765 - - 12/1/2012 12/1/2013 - BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE Per accident $ Uninsured motorist BI-sin le $ 1 000 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITV YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DE SCRIPT ION OF OPERATIONS below N/A 4119184 12/1/2012 12/1/2013 X WC STATU- DTH- ITOR E.L. EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000 000 E. L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space is required) City of Fort Collins 330 South College Avenue 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 25 Navarra, ACSR, CRIS 1988-2010 ACORD CORPORATION. All rights reserved. NYaUzU (LD1005).01 The ACORD name and logo are registered marks of ACORD