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HomeMy WebLinkAboutS2CR INC DBA FRONT RANGE EXCAVATION - INSURANCE CERTIFICATE (2)—� S2CRINC-01 CCANTE ACORL7 DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1E(MMID IYY 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 GroupPHNE 405 South Lincoln Avenue (A/C, No, Ext): (970) 879-1363 (A/C, No):(970) 879-0239 Suite A nooRESS: office@steamboatselectins.com Steamboat Springs, CO 80487 ... 1., nccnorour_ rnvconnc I uerr s INSURED S2CR, Inc. dba Front Range Excavation of Larimer Cnty 4411 Rist Canyon Rd. Laporte, CO 80535 INSURER F : Acuitv A Mutual Insurance Co CnVFRAC;FS CFRTIFICATF NiIMBFR: 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 ADDL.SUBR SD WVD POLICY NUMBER POLICY EFF MMIMM/DDIYYYYI POLICY EXP LIMITS -LELIN A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X03956 10/2012018 10/20/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES R occurrence 100,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X AUOTOS ONLDY X03956 10/20/2018 10120/2019 Eaa accatleDtSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PR acEaCentDAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X03956 10/20/2018 10/20/2019 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ DED I I RETENTION$ $ 4,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY EXCLUDED? ECUTIVE ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER STATUTE ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ A A Property 'XO3956 Commercial Inland Ma X03956 10/20/2018 11/20/2018 10/20/2019 Bldg/BPP 1012//2019 Sch Equip 242,201 385,008 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) FAX: (970)224-6134 - City of Fort Collins is included as additional insured with respect to the general liability via policy Ends #CG2012F City of Fort Collins PO Box 580 Fort Collins, CO 80522 ht\CL"= 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 ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD