HomeMy WebLinkAboutB & B CONTRACTING - INSURANCE CERTIFICATEA4C� 0' DATE (MMIDD/YYYY)
`�. CERTIFICATE OF LIABILITY INSURANCE 3/5/2015
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 endorsement(s).
PRODUCER Liberty Mutual Insurance NAMe.
PO Box 188065 PHONE 800-962-7132 ac No: 800-845-3666
Fairfield, OH 45018 1 E-MAIL
N
INSURED
B & B Contracting
6632 E County Road 58
Fort Collins CO 80524
COVERAGES CERTIFICATE NUMBER: 9371Q7R7 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
LTR
OF INSURANCE
ADDLTYPE
INSD
SUER
POLICY NUMBER
EFF
MMIDD/YYYY
POLICY E XP
MM DD/YPOLICY
YYY
LIMITS
A
V
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �✓ OCCUR
BKS56370604
11/12/2014
11/12/2015
EACH OCCURRENCE
$ 1,000,000
PR MI E RENTEU
.occurrence
$ 300,000
MED EXP (Any one person)
$ 15,000
PERSONAL$ ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
✓ POLICY El JECT LOC
OTHER
GENERAL AGGREGATE
$ 2,000.000
I PRODUCTS - COMP/OPAGG
$ 2,000,000
$
AUTOMOBILE LIABILITY
AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COMBINED
tlEDt SINGLE LIMIT$
(Ea amANY
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PPROa ERdT t AMAGE
$
$
UMBRELLA LiAs
E%CESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, descobe under
DESCRIPTION OF OPERATIONS below
N/A
STAT TE I I ER
_
$
$
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
City of Fort Collins
PO Box 58
Fort Collins CO 80522
liH IV V CLLH I I V IV
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
V 19BB-2014 ACORD CORPORA I ION. All rights reserve0.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
CERT NO.: 23719767 CLIENT CODE: 56370604 Christine Biglln 3/5/2015 12:41:09 PM (PST) Page 1 of 1