HomeMy WebLinkAboutBENSON AND BENSON IRON & METALS INC - INSURANCE CERTIFICATETo: 9702216702
From: Stephanie Huber
4-19-13 8:44am p. 4 of 4
D® CERTIFICATE OF LIABILITY INSURANCE
''�DAM
)
4/19/2013
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 endorsament(s).
PRODUCER
Security First Insurance Agency
7851 S. Elati Street
Suite 100
Littleton CO 80120
CONT CT
NA Stephanie J Huber
aONN , (303) 730-2327 AIC ND: (303))30-2930
gDORESS. 511uberL$sec=ityfirstia.COm
INSURERS) AFFORDING COVERAGE
NAICF
INSURERA.TeChImOlOgY Insurance Company
INSURED
Benson and Benson IIon & Metals, Inc.
Benson Rolloff Services, LLC
6885 Lowell Blvd
Denver CO 80221
INSURER B'Plnnacol Assurance
41190
INSURER C:
INSURER D:
INSUR0
INSURER F:
COVFRAGFS CERTIFICATE NUMBERWC 12/13, GL CAU 13/14 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
INSR
WV
POLICY NUMBER
POLICYI
MMIDDflYYY
POLICY EXP
MMIDDANYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
}i COMMERCIALGENERAILLIABILITY
PRFMISFB Fe ord,nencel
$ 100,000
A
CIAIMSMADE FxIOCCUR
rppiO2O767 01
/20/2013
0 /20/2014
MEDEXPAnYonepersord
$ 5,000
PERSONAL B ADV INJURY
; 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE
LIMIT APPLIES PER:
PRODUCTS AUG
$ 2,000,000
$
X POLICY
To LOC
AUTOMOBILE
LIABILITY
E°0apdaD SINGLE LIMIT
1,000,000
BODILY IN.URY(Perpelson)
$
A
$
MY AUTO
ALL OMED SCHEDULED
AUTOS AUi05
PP1020767 01
/20/2013
/20/2014
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Peracndem
$
NON OMED
HIREDAUTOS AUTOS
unnsuma motonsl Reclined
$ 50,000
UMBRELLA LIAS
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS UPS
CIAIMSMADE
DED I I RETENTION$
$
B
RDRKERS COMPENSATION
AND EMPLOYERS 'LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
x nC STATU- OTH-
r
EL EACH ACCIDENT
$ 100,000
OFFICERIMEMBER EXCLUDED"+
(Manditpryln NH)
NIA
063653
2/1 /2012
2/1 /2013
EL DISEASE - EA EMPLOYE
$ 100,000
It,, descnbe under
DESCRIPTION OF OPERATIONS below
E- DISEASE - POLICY LIMIT
1 $ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Aatlitional Remarkz S<Mtlula, I! man space is nRVlretl)
(970)221-6782
City of Fort Collins
PO Box 580
Ft. Collins, CO 80522
ACORD 25 (2010105)
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
J Huber/SHUBER /4L'¢.A-..,i ' `/ L�-
INS025 otrimil IN THo ArnPn name ari imn am runiRlPrPH mnr4c M arewn
To: 9702216782 From: Stephanie Huber 4-19-13 8:44am p. 3 of 4
Fax
To: City of Fort Collins
Fax: 9702216782
From: Security First Insurance Agency
Phone: (303)730-2327
Email: info@securityfirstia.com
Date: 4/19/2013 9:46 AM
Subject: Cart Holder
Memo:
Please see 13/14 GL and Auto renewal for Benson and Benson,Benson
Rolloff Services