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HomeMy WebLinkAbout487950 MAC BESTOS INC - INSURANCE CERTIFICATE (3)A� �® CERTIFICATE OF LIABILITY INSURANCE 9/5/2013vyr) 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 CO West Insurance Group PO BOX 910 Castle ROCK CO 80104 CONTACT COWest: Corporate NAME: rP PHONE h.(F.303)688-9597 FgIL No: (303)688-8858 EMAIL RESS,info@cowest.com INSURERS AFFORDING COVERAGE NAIC N INSURER A We S tc)les ter Surplus Lines Ins INSURED (lQ 4 n Mac Bestos, Inc. �`� I� 1235 Delaware St. Denver CO 80204 INSURER B:OWners Ins CO 32700 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 MASTER CERT 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 LTR TYPE OF INSURANCE DLSUBR Jua POLICY NUMBER MM POLICY EFF IDDNWY) POLICY EXP (MMIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S 50,000 A CLAIMSMADEOCCUR S27087395 001 9/1/2013 9/1/2014 MED EXP(My ona person) $ 10,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY PRO LOC X JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 11000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4896304900 0/1/2013 10/1/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS Uninsured motorist BI sell limit $ 1,000,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X AGGREGATE $ 3,000,000 A EXCESSLIAB CLAIMS -MADE DED I X I RETENTION$ 10,00C $ 327092433 001 9/1/2013 9/1/2014 WORKERS COMPENSATION WC STATU- OTH- I TOR AND EMPLOYERS' LIABILITY YINLIM ANY PROPRIETORIPARTNERIEXECUTNE E.L. EACH ACCIDENT $ /M OFFICEREMBER EXCLUDED? ❑ NIA E. L. DISEASE - EA EMPLOYE $ - (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIABILITY 27087395 001-Claims 9/1/2013 9/1/2014 Contractors S Asbestos $1,000,000. POLLUTION 6 MOLD LIAB ade/Retro date 9-1-03 9/1/2013 9/1/2014 AbatementlEach Claim $1,000,000. DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Adach ACORD 101, Additional Remarks Schedule, if more space Is required) PROJECT: LINCOLN CENTER ASBESTOS ABATEMENT. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS INSURED'S GENERAL LIABILITY COVERAGE - BLANKET ADDITIONAL INSURED ENDORSEMENT. 1�13�1�1]l�J_\�li1�JS1•J l�1 CITY OF FORT COLLINS ATTN: PURCHASING DEPARTMENT 215 N. MASON 2ND FLOOR FORT COLLINS, CO 80524 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 Craig Meyers/AJM 9� © 1988-2010 ACORD CORPORATION. All riohts reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD