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HomeMy WebLinkAbout120116 BESTWAY CONCRETE & AGGREGATE - INSURANCE CERTIFICATEBESTW-2 OP ID: MMZ ACORO CERTIFICATE OF LIABILITY INSURANCE 2/255 D02/25ATE //2 Y015 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 CRS/Surescape Ins. Services 6600 E. Hampden Ave. Denver, CO 80224 Erik E. Ulibarri CONTACT Alex Rothey NAMPHONE _ 3039957800 FAX A/C No - - A/c No: 303-757-7719 AE&A": arothey@cmdenver.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:The Travelers Companies INSURED Bestway Concrete 8: Aggregate INSURERS: Plnnacol Assurance Ed Foster 301 S. Centennial Dr. INsuRERc: Milliken, CO 80543 INSURERD: INSURER E : INSURER F : CnVFRAGFS CFRTIFICATF NIINIRFR- RFVIAIAN NI INIRFR- 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 T INSURANCE ADOL U POLICYNUMBER POLICY EFF MM/DD POLICY EXP MWD LIMITS A X COMMERCIAL GENERALuAmLITY CLAIMS -MADE a OCCUR Y-630-5F600378 03/01/2016 03/01/2016 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL$ ADV INJURY $ 1,000,00 GENL AGGREGATE LIMIT APPLIES PER: PRO- JECT LOG X POLICY1:1 ❑ OTHER. GENERAL AGGREGATE S 2,000,00 PRODUCTS-COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS TOSHIRED AUTOS X NON-OW14ED AUTOS Y-810-5F600378 0310112015 03/0112016 COMBINED SINGLE LIMIT Ea accident)$ 1,000,00 BODILY INJURY (Per person) $ JX BODILY INJURY (Per ecdderd) $AU PROPERTY DAMAGE Per accident $ $ A J( UMBRELLAL" EXCESS LIM X OCCUR CLAIMS -MADE YSM-CUP-5F600378 03101/2015 03/01/2016 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 DIED I X I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NMI H Yes, describe under DESCRIPTION OF OPERATIONS below N/A 026925 03/01/2015 03/0112016 I X I PER OTH- TATUTE ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE S 600,00 E.L. DISEASE - POLICY LIMIT $ 500,00 A Leased/Rent Equip Y-630-5F600378 I 03101/2015 03/0112016 Limit 250,00 Ded 5,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be a techeo if more space is required) All policy terms, conditions and exclusions apply. CFRTIFICATF HnI nFR r:Aur ri I ATInA1 CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 Qn ' 1 C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD