HomeMy WebLinkAbout344844 DUNRITE EXCAVATION INC DBA DUNRITE X INC - INSURANCE CERTIFICATE1-. R CERTIFICATE OF LIABILITY INSURANCE
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D/10/ 01YYY)
6/10/2014
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
CONTACT
NAMEp Racie Holgate
Moody Insurance Agency, Inc..
8055 East Tufts Avenue
PHONE (303)824-6600 -' (A/C No :'(30313Y0-OS1B.
EMAIL ADDRESS. kacie. holgate@moodyins. com
Suite 1000
INSURERS) AFFORDING COVERAGE
NAICA
INSURERA;Cincinnati Insurance Company
10677
Denver CO 80237
INSURED
INSURER B
DuaritExcavation, Inc., DBA: Dunrite X, Inc.
INSURER C:
21506 Weld County Road 1
INSURER D;
INSURER E
Berthoud CO 80513
1 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 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.
INTF
TYPE OF INSURANCE
A
U
POLICY NUMBER
POLICY EFF
mWOONYYY
POLICY EXP
MM /OONYYY1
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL
CLAIMS -MADE EOCCURCCUR
PP0194087
6/13/2014
6/13/2015
EACH OCCURRENCE
$ 11000,000
DAMAGE TO R N ED
PREMISES Ea occurrence)
$ 100,000MED
EXP (My oneperson)
$ 10, 000
PERSONAL &ADV INJURY
$ 11000.000
GENERAL AGGREGATE
$ 21000,000
GEN'L AGGREGATE
POLICY
LIMIT APPLIES PER:
X PRO LOG
.PRODUCTS - COMP/OP AGO
$ 2,000,000
$
A
AUTOMOBILE
LIABILRY
ANY AUTO
ALLOWNED SCHEDULED
HIRED AUTOS AUTOS NON -OWNED
AUTOS
PP0194087
/13/2014
6/13/2015
COas tlED SINGLE LIMIT
1,000,000
X
BODILY INJURY (Per person)
$
OODILYINJ
URY(Per accident)
EAUTOS
PROPERTY DAMAGE
Per accident
Medical a menu
AX
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
PP0194087
up15N9572214NP
6/13/2014
6/13/2015
EACH OCCURRENCE
AGGREGATE
W$5,
DED X RETENTION$
2nd layer excess liabilky
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOWPARTNER/EXECUTIVE
OFFICEMMEMBER EXCLUOED7
(Mandatory in NH)
If yes, describe under
IPTION OF OPERATIONS below DESCRIPTION
N/A
EPP0194087
/13/2014
6/13/2015
XWC STATU- OTH-
ORYM
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
$ 1,000,000
E.L. DISEASE - POI WN OMIT
S 1 000 000
DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
City of Fort Collins
300 LaPorte Ave.
Fort Collins, CO 80521
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
ACORD 25 (2010/05)
Bell, CIC/DONBRI O ----- AE-3-.Je-Q
01988-2010 ACORD CORPORATION_ All rinhte roeoruod
INS025 (201005).01 The ACORD name and logo are registered marks of ACORD