HomeMy WebLinkAbout493752 CCI HOUSE & BUILDING MOVING INC - INSURANCE CERTIFICATE (3)CCIBU-1 OP ID: LJ
,a►`�Ro CERTIFICATE OF LIABILITY INSURANCE
DAT08/1514
08I15114
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 certificateJholder 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 651-638-9100
NAMEACT
Maguire Agency _ _ _
1935 West County Road B-2,#241 651-638.9762No,
Roseville, MN 55113
Housemovers
PHONE
INC, No,Ext): I (A/c, No):
E-MAIL
ADDRESS:
INSURERCOVERAGE
NAIC q�
INSURER A:TraVQIerS Insurance
UranCe Companies
INSURED CC[ House & Building
Moving, Inc.
8257 Scenic Ridge Court
INSURER B:
INSURER C:
Ft. Collins, CO 80528
INSURER D:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISInKIN11MRFP-
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 BYPAIDCLAIMS.
INSRLTRI TYPE OF INSURANCE AOOLISUBRI POLICY NUMBER MM DDLICVIVYYYI MMID�Y/YYYY LIMITS
I GENERAL LIABILITY
A I A COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X
6605428C784
rl;
08124114
I
08124/15
EACH OCCURRENCE
DAMAGE TO RENTED
_PREMISESJEa occurrence)
I MED EXP(Any one person)
I$ 1,000,00
I $ 100,00
I$ 5,00
PERSONAL S ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
IS 2,000,00
' GE]NL AGGREGATE LIMIT AP PLIES PE R:
. i 1'POLICY I X7 PRO- LOG
PRODUCTS - COMP/OP AGG
$ 2,000,00
8
A ��X-
AUTOMOBILE
LIABILITY
ANYAUTO v ❑;'
ALL OWNED,., SCHEDULED
AUTOS AUTO
NON-OWNED
HIRED AUTOS AUTOS
.-BA7043C959
'
'—L � =
,..
+
,,..F. n. + .-.+ ,'
`08124114-
08124115-
..
-
'
ICOMBINED SINGLE LIMIT
l-(Ea acciden9
$ 1000,00
BODILY INJURY(Per Person)-
$ -- '-- -
BODILY INJURY (Per accident)
$
X
I PROPERTY DAMAGE.
$ -I _
F(Peraccident)
UMBRELLA LIAB
EXC
OCCUR
CLAIMS -MADE
: "
EACH OCCURRENCE
$
H
A GGREGATE
$
DEDERETENTION $
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANY PROPRIETORMARTNERIEXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Myandatory in NH)
If DESCR PTION OF OPERATIONS below
N/A
-
IIVVC STATU- OTH-
L�TDRY LIMITS
E L EACH ACCIDENT
$
_EL. DISEASE -EA EMPLOYEE
$
E.L. DISEASE- POLICY LIMIT I $
I
_
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
City of Ft. Collins
P.O. Box 580
Ft. Collins„ CO 80522
XFTCOLL
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 RE`PREES'ENTATIVE
ACORD 25 (2010/05)
10 Tstsn-ZU1U AL;UKU CURPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD