HomeMy WebLinkAboutBENSON AND BENSON IRON & METAL INC - INSURANCE CERTIFICATETo. 9702216782 From: Stephanie Huber 11-25-13 10:09am p. 2 of 2
ACORe CERTIFICATE OF LIABILITY INSURANCE
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DATEIMMmom Y)
11/25/2013
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(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
Security First Insurance Agency
7851 S. Elati Street
Suite 100
Littleton CO 80120
2OX ACTStephanie J Huber
PHONE-(303)730-2327 FAX WL (303)730-2930
AD ..shuber@securityfirstia.com
INSURER AFFORDING COVERAGE
NAIC0
INSUREIRAMeC]IIII0109Y Insurance Company,
42376A
INSURED
Benson and Benson Iron L Metals, Inc.,
Benson Rollo££ Services, LLC
6885 Lowell Blvd
Denver CO 80221
INSUIERB'FlaSa Insurance Company
0945
INSURERC:Plnnacol Assurance
41190
INBUtER D:
INSURER E:
INBURERF:
rnvFRAGFS rFRTIFICATFNLIMRFRI3/14 WC CAD GL 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.
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY ERE
MMIO YEXP
D
LIMITS
ACLAIMS-MADE
GENERAL LIABILITY
MMERCIAL GENERAL LIABILITY
QOCCUR
nson Iron 6 Metals
JXBenson
PP1020767 01
R0005033-00
/20/2013
0/23/2023
/20/2014
0/23/2014
EACH OCCURRENCE
$ 1,000,000
P MI m e
$ 100.000
MED EXP(My One Person)
$ 5,000
PERSONAL S ADV INWR Y
S 1,000,000
Rolloff Services
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
X POLICY
LIMIT APPLIES PER
PRO- LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
B
AUTOMOBILE LIABILITY
X MY ALTO
ALL OMED SCHEDULED
RED AUTOS 0 -ONNED
0005033-00
0/23/2013
0/23/2014
COMBINED ISINGLE LIMIT
1,000,000
BODILY INJURY (Per Person)
$
BODILY INXRY Rw wadW)
$
PPOPPEROTY DAMAGEAUTOS
$
Umneured mO.Irfl mmbmed
$ 50 000
UMBRELLA UAB
EXCESS LIAO
OCCUR
CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROFRIETORIPARTNERIEXECUTIVE
OFFICERIMEM�R EXCLUDED?
(MAROMery In NH)
O
DESCRIPTION OF OPERATIONS below
NIA
063853
2/1/2013
2/1/2014
X I NC IIATrU,-
E LL1 . EACH ACCIDENT
$ 100 000
E DISEASE -EA EMPLOYE
$ 100,000
EL. DISEASE -POLICY LIMIT
1 $ 500,000
DESCMPTIONOFOPERATON ILOCATIONS/VEHICLES (Afteh ACORD101,AddIll9ndlR9meXSSCEedPle,Ifm9n PPPeelenRul,rdl
(970)221-6782
City of Fort Collins
PO 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.
J Huber/SHUBER
All rights reserved.
INS025 nrndOs ni Tho Arr1Rfl name and Iron am renia}.rPd mark¢ of Arngn