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HomeMy WebLinkAbout495690 ABC CONCRETE INC - INSURANCE CERTIFICATEOF IU: NH ,4�oizo IE IN CERTIFICATE OF LIABILITY INSURANCE D03,Om3I001Y/2014Y) 310 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 endorsementlsl. PRODUCER IFS Insurance Group - JT 1848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 ABCCO-1 INSURED ABC Concrete, Inc 495 n INSURERA: 301- A North Timberline Rd. YI �Q INSURERS: Fort Collins, CO 80524 INSURER C INSURER E : 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 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 ADDL SUER POLICY NUMBER POLICY XP M oo YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR L83958 BLKT Al BLKT WOS 05/24/2013 05124/2014 EACH OCCURRENCE It 1,000,000 PREMISES Ea occurrence) S 250,00111 MED EXP(Any one parson) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000, GEN'L AGGREGATE 1-1 POLICY LIMIT APPLIES PER: RO- LOC X PIFr.T PRODUCTS-COMP/OP AGG S 3,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS L83968 05/24/2013 05/24/2014 COMBINED SINGLE LIMIT (Ea acci leant) a 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) a PROPERTY DAMAGE (PER ACCIDENT) a X X $ a A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMSMADE L83858 05/2412013 06124/2014 EACH OCCURRENCE $ 1,000,00 AGGREGATE a 1,000,D0 DEDUCTIBLE RETENTION S N/A i S B WAORKERS COMPENSATION D EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNERIEXECUTIVEY❑ IN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N yea, describe under DESCRIPTION OF OPERATIONS balm NIA 2281 04101/2014 04/01/2015 X WC SLIMIT X OE E.L. EACH ACCIDENT $ 1,000,00( E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT S 1,000,00 A Contractors Equipm L83958 05124/2013 05/24/2014 Lsed/Rent 50,00 Equipment 40,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) FORTC-1 City of Fort Collins Attn: Pat Johnson P.O. Box 580 Fort 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD