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Home My WebLink AboutREEVES SPECIALTY SERVICES INC - INSURANCE CERTIFICATE (3)A� Ro® CERTIFICATE OF LIABILITY INSURANCE DATE(M811DD/YYYY) 3/31/2015 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 PRODUCER Keller -Lowry Insurance Inc 1777 S Harrison St #700 Denver CO 80210 INSURED Teresa Heupel dr.(303)756-9909 icanhelp®kellez .cam Ins Co (303)756-8818 Reeves Specialty Services, Inc. INSUREAC-Ohio Casualty Ins Co 124074a PO Box 472585 INSURERD:Pinnacol Assurance 41190 INSURER E : Aurora CO 80047 INSURER F: COVERAGES CERTIFICATE NUMBER: 15-16 GL,AU,UM,WC 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. TYPE OF INSURANCE POLICY NUMBER PWDDr EFF POLICY EXP LIMfrS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES occurrence) $ 300,000 MEDEXP(Any one $ 15,000 X ADDITIONAL INSURED EKS56056104 4/1/2015 4/1/2016 X "RIVER OF SUBR PERSONAL & ADV INJURY $ 11000,000 CG8810 0413 6 CG6583 0413 GENIL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F JET LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY aaBINED SINGLE LIMIT $ 1,000,000 _CEWX BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS HA8834494 4/1/2015 4/1/2016 BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 C EXCESS LIM CLAIMS -MADE DED I X I RETENTION 10.000 $ JUS056056104 4/1/2015 4/1/2016 WORKERS COMPENSATION gPER T D AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA 4079921 4/1/2015 4/1/2016 E.L. EACH ACCIDENT $ _ 11000,000 $ _ 1, 000, 000 E.L. DISEASE- EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 8 Yes. describe under DESCRIPTION OF OPERATIONS below WAIVER OF SUBRO $ 11000,000 A LEASED & RENTED EQUIPMENT BRS56056104 4/1/2015 4/1/2016 MAX LIMIT $25,000 DED $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 0 more space is required) Certificate Holder is Additional Insured, with Waiver of Subrogation, for General Liability as required by written contract with Insured subject to the terms and conditions of the policy contract.Additional Insured, Waiver of Subrogation and Primary Non -Contributory coverage per policy forms attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE T Sibelius CIC CRM/TM�� 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)