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HomeMy WebLinkAbout104002 COLORADO IRON AND METAL - INSURANCE CERTIFICATE (2)COIRO-1 OP ID: JD 144c"M CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 05/1 S/15/14 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 Phone: 970-482-7747 Brown 8. Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 970-484-4165 Fort Collins, CO 80525 Tyler B. Allen CONTACT NAME: Pu�N Ea : I ac No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE HMCo L1`�Uv INSURER A: PInnacol Assurance Company 41190 v INSURED Colorado Iron and Metal 903 Buckingham INSURER B: National Specialty Ins Co 22608 Ft Collins, CO 80524 INSURERC: INSURER D : INSURER E : NSURER 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. INSR LTR TYPE OF INSURANCESUSIR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABIUTY CLNM$-MADE OCCUR CWN0252978 09/01113 09101114 PREMISES Eaocwnence $ 300,00 MED UP (My one person) $ 15,000 PERSONAL SADV INJURY $ 1,000.00 GENERAL AGGREGATE $ 21000,00 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 1-1 PoUCY X PRO- LOC S AUTOMOBILE LIABILITY D SINGLE LIMIT 1,000,00 B X ANY AUTO BKN0252961 09101113 09/01/14 JURY(Per person) $ ALL OWNED SCEDULED AUTOS AUT raccidend IURY(Per accident INON-0"ED $ HIRED AUTOS AUTOS Y DAMAGE rdS S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 B EXCESS LIAB CLAIMS -MADE CWN0252978 09/01113 09101/14 DIED I X I RETENTION$ 0 $ A WORKERS COMPENSATION AND EMPLO ERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? NIA 3333756 06/01114 06101115 X T IRY A ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,00 (Mandatory In NH) N yBs. describe antler DESCRIPTION OF OPERATIONS D¢bw E.L. DISEASE -POLICY LI MIT $ 500,000 B Leased/Rentd Equip CWN0252978 0/101113 09101114 Limit 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Fax: 530-0301 FTCNATR City of Fort Collins Natural Resources Department 281 N College Avenue 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 ©1988-2010 ACORD CORPORATION. All rights reserved. AGLIKU ZO (ZUIUIUD) The ACORD name and logo are registered marks of ACORD No Text