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HomeMy WebLinkAboutS2CR INC DBA FRONT RANGE EXCAVATION - INSURANCE CERTIFICATES2CRINC-01 CCANTELI ACORN YY) ID (MMD/YYDIYY CERTIFICATE OF LIABILITY INSURANCE 1DATE (MM/ 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Steamboat Select Insurance Group (A/cC, No, Ext): (970) 879-1363 ONE FAX No):(970) 879-0239 405 South Lincoln Avenue E-MAIL Suite A ADDRESS: office@steamboatselectins.com Steamboat Springs, CO 80487 INSURERS AFFORDING COVERAGE NAIC # INSURERA:Acuity A Mutual Insurance Company 114184 INSURED S2CR, Inc. dba Front Range Excavation of Larimer Cnty 4411 Rist Canyon Rd. Laporte, CO 80535 \111RADCD. DC1/IC1f1K1 NII IIURCD- 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 ADDL SUBR POLICY NUMBER POLICY EFF IPIOLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR X03956 10/20/2018 10120/2019 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,600 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- ❑ JECT LOC $ OTHER: A AUTOMOBILE LIABILITY(Ea COMINED accident SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO X03956 10/20/2018 10/20/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS Pe�accRd nt AMAGE $ X AUTOS ONLY X A�TO ONL� A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE X03956 10/20/2018 10/20/2019 DED RETENTION $ $ 4,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PROPRIETOR/PARTNER/EXECUTIVE SPR EATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ OFFICER/EMERCUD❑ (Mandatory in NH) N / A E.L. DISEASE -POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS oelow L $ A Property X03956 10/20/2018 10/20/2019 Bldg/BPP 242,201 A Commercial Inland Ma X03956 10/20/20111 11/20/2019 Sch Equip 385,008 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: John Deere 135 GLC Excavator #1 FF135GXKCE400009 - Value $142,606, deductible $1,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Police Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y P ACCORDANCE WITH THE POLICY PROVISIONS. 2221 S. Timberline Road Fort Collins, CO 80525 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD