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Home My WebLink About120116 BESTWAY CONCRETE COMPANY - INSURANCE CERTIFICATEClient#: 28537 BESCO ACORD CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/YYYY) 02/21/2013 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(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 lieu of such endorsement(s)- PRODUCER Flood &Peterson Ins., Inc. P. o Box etc Greeley, CO 80632 j(� 970 356-0123 CONTACT NAME: Debra Morris PHONE g70 506-3211FA aC No Eat : AIC, No): 970 506-6836 ADDREss: DMorris@FloodPeterson.com CUSTOMER ID a: INSURER(S)AFFORDING COVERAGE NAICa INSURED A Colo Concrete Company do Corporation A Colorado 301 Centennial Dr INSURER A: The Cincinnati Insurance COmpan INSURER B: Great American Excess Liability NSURERC: Pinnacol Assurance Milliken, CO 80543-3222 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. LUL TYPE OF INSURANCE POLICY NUMBER POLICY CY EXP MM/OD/YYYY UMRS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABWTY CLAIMS -MADE FXI OCCUR X PDDed:$1,000 CPP1076124 3/01/2013 03/01/2014 EACH OCCURRENCE $1000000 DAMAGE TO SEWED PREMISES Ea occurrence S100000 MED EXP(Anyone person) s5,000 PERSONAL A ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE POLICY LIMIT APPLIES PER: X PRO- FrITLOC PRODUCTS - COMP/OP AGG 52,000000 $ A AUTOMOBILE UABILDY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CPP1076124 3/01/2013 03/01/201 - COMBINED SINGLE OMIT (Ea accident) 51000000 BODILY INJURY (Per Person) S BODILY INJURY (Peraccident) $ 1XX PROPERTY DAMAGE (Per accident)$ S $ B X I UMBRELLA LIAB X EXCESS LIAB DCCUR CLAIMS -MADE TUU568054607 3/01/2013 03/01/201 EACH OCCURRENCE $2 000 000 AGGREGATE s2,000,000 DEDUCTIBLE RETENTION O g 'Xi - 4 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEY] OFFICEWMEMBER EXCLUDED? (Mandatory In NH) It ea, absentee under DESCRIPTION OF OPERATIONS below WA 4026925 0310112013 03/01/201 X VJCSTATu- OTH- 1. E.L. EACH ACCIDENT $500,000 E.L DISEASE- EA EMPLOYEE s500,000 E.L DISEASE - POLICY LIMIT $500000 A Equipment CPP1076124 3/01/2013 03/01/201 Blanket Limit Deductible $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is requited) CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P O BOX S8O THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S765458/M765438 DSM