HomeMy WebLinkAbout493752 CCI HOUSE & BUILDING MOVING INC - INSURANCE CERTIFICATE (2)CCIBU-1 OF ID: LJ
4I4c"i2" CERTIFICATE OF LIABILITY INSURANCE
DAT08105 DIYYYY)
8105/13
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 INSURERS), 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 endorsements . '
PRODUCER 651-638.9100
CONTACT
NAME;
Maguire Agency
1935 West County Road B-2,#241 651-638-9762
Roseville, MN.55113
Hou samovars
PHONE - _ _ FAX. _
(AIC, No, Ext): I INC Nol: -
E-MAIL _
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAICp
INSURER A:Tra Velers Insurance Companies
INSURED CCI House & Builci
Moving, Inc.
8257 Scenic Ridge Court
INSURER B:
INSURER C:
Ft. Collins, CO 80528
INSURER D:
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISIONNUMBER:
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.
C.qI TYPE OF INSURANCE ADDLTI MIDI POLICY NUMBER MMIODY�IMMIDDY/ YY LIMITS
A
GENERAL LIABILITY
X CO�MMERCIALGENERALLIABILITY
(CLAIMS -MADE aOCCUR
��—
X
6605428C784
OB/24/13
08/24114
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES -(Eaoccurrence)
MED EXP(Any one person)
$ 1,000,00
$ 100,00
$ 5,00
PERSONAL B ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,00
PLIES PER:
GENT AGGREGATE LIMIT APII
IF1 POLICYFA PRO PLOC
(PRODUCTS-COMPIOP AGG
$ 2,000,00
`1
Is
A-
' ICI
AUTOMOBILE
X
H
LIABILITY
ANYAUTI] �,., �;-"-(';, -.
AUTOLL SEO AUTOS AUTOS
HIRED AUTOS X AUUTOS NON-OWNED
--
;'.
BA7043C959 '-- "_ - -c -'
08/24/13
08/24/14
COMBINED SEa ad INGLE LIMIT
1,000,00
BODILY INJURY (Per person)_(
S_.
BODILY INJURY (Per accitlent)$-
PROPERTY
amioenl)AMAGE
$
1�
UMBRELLA LIAB I�
EXCESS LIAS
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
$
I RETENTION so
_AGGREGATE
I$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
OFFICERIMEMBER EXCLUDEDp
(Mandatory, in NH)
If es, describe undo
OESCRIPTION OF OPERATIONS below
NIA
CSTATU- I OT
I
_
E EACHACCID ENT
I
$
E.L. DISEASE - EA EMPLOYEE((
S
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
XFTCOLL
City of Ft. Collins
P.O. Box 580
Ft. 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
(0 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD