HomeMy WebLinkAboutSAFETY RAILS OF COLORADO INC - INSURANCE CERTIFICATESAFET-9 OP ID: DP
,d►. o CERTIFICATE OF LIABILITY INSURANCE
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DATE 12/2412 Y4
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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
Rich & Cartmill Ins of CO
of Colorado LLC
8213 W. 20th Street
Greeley, CO 80634
Michael J Schmitt CIC
CONTACT Michael J Schmitt CIC -' --
PHONE
AIC, No. E.n:970-356-8030E FAX - - - _(AIC, No: 970-356-8032
EMAIL --
ADDRESS:
INSURERIS) AFFORDING COVERAGE
' NAIC as
INSURER A: Twin City Fire Insurance Co
INSURED Safety Rails of Colorado, Inc;
Custom Fence & Supply Inc;
Home Builders Services Inc;
INSURER B: Depositors Insurance
INSURER C: Pinnacol Assurance
INSURER D:
Custom Leasing Inc
3031 Highway 119
Longmont, CO 80504
INSURER E:
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.
INSR TYPE OF INSURANCE ADOL SUB POLICY NUMBER MMIDO/YVVV MMIDD/VVVYPLICYIEFF LIMITS
TR
GENERAL LIABILITY
EOCCURRENCE
$ 1,000,00
A
X COMMERCIAL GENERAL LIABILITY
X
34ECSOA6354
01I01I2015
01I01I2016
_
E TURERTEDACH
DAMAG
PREMISES Ea occurrence
$ 300,00
MED EXP (Any one person)
$ 10,00
CLAIMS -MADE 1-X-1 OCCUR
PERSONAL &ADV INJURY
$ 1,000,00
X Contractual Liab
GENERAL AGGREGATE
$ 2,000,00
GEH'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGO
$ 2,000,00
Emp Ben.
$ 1,000,00
X POLICY PRO. LOC
JPCT
AUTOMOBILE LIABILITY
_CO BINEDI SINGLE LIMIT
$ 1,000,00
BODILY INJURY (Per person)
$
B
X ANY AUTO
7544734203
01/01/2015
01/01/2016
BODILY INJURY (Per accident)
8
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-ORX HIRED AUTOS X AUTOSWNEO
(PEOR ACCIDENTI
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$ _
E%LESS LIAB
CLAIMS MADE
DED RETENTION $
$
C
WORKERS COMPENSATION
ANDEMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
4098724
0110112015
01/01/2016
X WC3TATU- OTH-
TORY-LIMITS ER
E.L. EACH ACCIDENT
_
$ 600,00
E.L. DISEASE_ EA EMPLOYEE
$ 500,00
t
E.L. DISEASE - POLICY LIMIT
$ 500,00
If yas, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD lot, Additional Remarks Schedule, if more space Is required(
City of Fort Collins is named as additional insured as pertains to the
general liability policy, per written contract.
CITFCO
City of Fort Collins
215 N Mason St
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
Michael J Schmitt CIC
1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD