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Home My WebLink AboutREEVES SPECIALTY SERVICES INC - INSURANCE CERTIFICATE (2)® CERTIFICATE OF LIABILITY INSURANCE ''�" F DATE vv) 3/31/2014 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 endorsements . PRODUCER Keller -Lowry Insurance Inc 1777 S Harrison St #700 Denver CO 80210 NAMEco T A Teresa Heupel PHONE 1303)756-9909 FAX .(303)756-8818 E'NAI .icanhelp®kellerlowry.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Ohio Security Ins Cc INSURED Reeves Specialty Services, Inc. PO Box 472585 Aurora CO 80047 INSURERs:Peerless Indemnity 18333 INsuRERc:Ohio Casualty Ins Co 24074a INSURERD:Pinnacol Assurance 41190 INSURER E 1 INSURER F: COVERAGES CERTIFICATE NUMBER:14 -15GL, AU, WC, UM, EQ 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. Ipg LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 $ 300,000 X COMMERCIAL GENERAL LIABILITY MED EXP A one Person)$ 15,000 A CLAIMS -MADE ® OCCUR KS56056014 /1/2014 /1/2015 PERSONAL B ADV INJURY $ 11000,000 X ADDITIONAL INSURED 8583 1009 & CG8959 0610 X WAIVER OF SUBRO GENERAL AGGREGATE $ 2,000,000 X X 8960 0610 GENT. AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 $ POLICY X PRO- LOC IFr.TAUTOMOBILE LIABILITY COMBINED(Ea accident) $ 11000,000 BODILY INJURY(Per person) S B JX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS N AUTOS A8834494 /1/2014 /1/2015 BODILY INJURY(PW accident) $ PROPERTY AMAGE P $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 C. EXCESS LIAR CLAIMS -MADE US056056104 /1/2014 /1/2015 DED I X I RETENTION 10P000 $ D WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERRXECUTIVE a OFFICERMEMBER EXCLUDED? (Menderory in NH) N/A 079921 /1/2019 /1/2015 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 11000,000 ff vyss xaW under DESCRIPTION OF OPERATIONS bebw X NArvXR OF SUBRO A LEASED & RENTED EQUIPMENT X956056104 /1/2014 /1/2015 MAX LIMIT $25,000 DED $1, 000 DESCRWITON OF OPERATR1a8/ LOCATIONS! VEHIGUS AnWh ACORD NIT, AddBionsl RereerMe Schedule, d more apace is required) Certificate Holder is Additional Insured, with Waiver of Subrogation, for General Liability as required by written contract with Insured subject to the terms and conditions of the policy contract.Additional insured, Waiver of Subrogation and Primary Non -Contributory coverage per policy forms attached. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE (2010/051 Sibelius CIC CRM/TM— ® 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD