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