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HomeMy WebLinkAbout224601 THOUTT BROS CONCRETE CONTRACTORS - INSURANCE CERTIFICATEACORD" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYVVV) 0/2]/2014 PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Thoutt Bros Concrete Contractors Inc INSURER A'. Pinnacol Assurance 41190 INSURER B'. 5460 Tennyson St Denver, CO 80212 INSURERC: INSURER D: INSURERE' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 ADD L POLICY EFFECTIVE POLICYE%PIRATION LTR INSRD TYPE OF INSURANCE POUCYNUMBER DATEIMIWOO/YYYYI OATE(MWDDMYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES MED E%P(Anyone Person PERSONAL B AOV INJURY GEN'L AGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS - COMPIOP AGO POLICY PROJECTn LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea APcdenl) BODILYINJURY ALL OWNED AUTOS SCHEDULEDAUTOS (Per Person) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per.... l) PROPERTY DAMAGE (Per..Menl) GARAGE LIABILITY AUTO ONLY EA ACCIDENT OTHER THAN EA AGE ANY AUTO AUTO ONLY. AS E%CESSNMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC STATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETORPARTNER/E%ECUTIVE 2033000 11/01/2014 11/01/2015 roar LIMITS E.L EACH ACCIDENT $t,ppp.ppp OFFICER/MEMBER EXCLUDED? EL DIBEABE - EA EMPLOYEE $1,00 OW It yea,Ne—:H-. uMar SPECIAL PROVISIONS Oebw E.L DISEASE -POLICY LIMIT I stmoe0o OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1566391 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO PO Box 580 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins, CO 80522-0580 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Patricia Smith ACORD 25(2001108) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.