The URL can be used to link to this page

Home My WebLink About106089 WESTERN STATES LAND SERVICES - INSURANCE CERTIFICATE (4)OP ID: JS ,d►14.. o CERTIFICATE OF LIABILITY INSURANCE DATE 1112612 Y4 11/26/2014 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 endorsemen s . PRODUCER Richards, Seeley, & Schaefer, Inc. 3640 W. 112th Avenue Westminster, CO 80031 B John Seeley CONTACT PHONE FAX A/C No E#, AIC No: Ea 11. ADDRESS: PRODUCER WESTE-1 CUSTOMER ID d: INSURE $ AFFORDING COVERAGE NAICS INSURED Western States Land Services INSURER A: American States Insurance 505 N Denver Avenue Loveland, CO 80537 INSURER 9: Pinnacol Assurance 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER' RFVICIr1N NIIMRFR- 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 rypE OF INSURANCE POLICY NUMBER POLICY EFF MWOD/YYYYI POLICY EXP fMNVDDrYYYY1 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I -XI OCCUR 02BP86670960 12/15/2014 12/1612016 EACH OCCURRENCE $ 2,000,00 PREMISES Ea omurrenes $ 250,000 MED EXP (Any one person) $ 10,00 PERSONAL $ ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO"CT- LOG PRODUCTS-COMP/OP AGG $ 4,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 24CC2767412 0113012015 01/30/2016 COMBINED SINGLE LIMIT (Ea amident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per emident) $ PROPERTY DAMAGE (PER ACCIDENT) $ X X $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS4AADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS belox NIA 1803222 01/01/2016 01/01/2016 STATU- OTH- X WC IMIT E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,00 00 E.L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUash ACORD 101, Additional Remarks Schedule, If mom apses Is squired) City of Ft Collins are included as additional insureds by contract. CITY019 City of Ft. Collins Mr O'Neil PO Box 580 Ft. Collins, CO 80522-0580 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 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD