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HomeMy WebLinkAbout120116 BESTWAY CONCRETE COMPANY - INSURANCE CERTIFICATE (2)Client#: 28537 RFSCt7 ACORD.., CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/21 /2014 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). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT Debra Morris NAME: PHONE 970 506-3211 970 506-6836 A/C No Ext : AIC No E-MAIL ADDRESS: DMorris@FloodPeterson.com INSURER(S) AFFORDING COVERAGE NAIC v INSURER A: The Cincinnati Insurance Compan INSURED A Coloradstwayo b A Colodo Corporation Concrete Company I� I I 301 Centennial Dr INSURER B : Great American Excess Liability INSURERC: Pinnacol Assurance INSURER D: Milliken, CO 80543-3222 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 CONTRACTOR 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 ADDL SUB POLICY NUMBER POLICY EFF MMIDDfYYYY POLICY EXP MMIDDIYYri LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR X PD Ded:1,000 CPP1076124 3/01/2014 03/01/2015 EACH OCCURRENCE $1 OOO OOO PREMISES Ea occTurrence _ $1 DO DDO $ 5,000 MED EXP (Any one person) PERSONAL &ADV INJURY $1,000,000 $2,000,000 $2,000,000 $ GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS -COMPIOP AGG A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS CPA1076124 3/01/2014 03/01/201 COacBcideDtSINGLE LIMIT 1,000,000 $ X BODILY INJURY (Per person) BODILY INJURY (Par accident) $ X PROPERTYDAMAGE Par aaidant $ $ B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE TUU568054608 3/01/2014 03/01/2015 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 DED FX RETENTION $0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTn;z ANYPROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4026925 3/01 /2014 03/01/201 X WC STATU- OTH- E.L. EACH ACCIDENT -- $500000 E.L. DISEASE - EA EMPLOYEE 11500,000 _ $500,000 E.L. DISEASE - POLICY LIMIT A Equipment CPPI076124 3/01/2014 03/01/2015 Blanket Limit Deductible $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) L"4.9mtaL"ii CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S865361/M865340 DSM