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HomeMy WebLinkAboutBSC HOLDING INC - INSURANCE CERTIFICATEAcoR& CERTIFICATE OF LIABILITY INSURANCE `� l/l/2020 DATE(MMIDDIYYYY) 1 1/2/2019 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 Lockton Companies Three City Place Drive, Suite 900 St. Louis MO 63141-7081 (314)432-0500 CONTACT NAME: A/C No Ext : A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED BSC Holding, Inc. 1406982 Lyons Salt Company Central Salt, LLC 10955 Lowell Avenue, Suite 500 Overland Park KS 66210 INSURER B : Liberty Insurance Corporation 42404 INSURER C : ACE Property & Casualty Insurance Co 20699 INSURER D : INSURER E : INSURER F : COVERAGES KIRIVII CFRTIFICATF MIIMRFR• 1 i';0AQ7Q RFVISIAM MI IMRPR• Y'Vyy CYY 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 TYPE OF INSURANCE ADDL INSD SUBR YWD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR Ir N TB2-641-445414-029 1/1/2019 1/l/2020 EACH OCCURRENCE 1,000,000 PREMISES Ea occurrrence 1,000,000 MED EXP (Any one Derson 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑ PRO-- LOC JECTPRODUCTS OTHER: GENERAL AGGREGATE $ 2,000,000 - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED ONLY AUTOS ONLY X AUUTOS ONLY Y N AS2-641-445414-039 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT Es accident $ 1,000,000 BODILY INJURY (Per person) $XYM Ix BODILY INJURY Per accident ( $AUTOS XXX3�AUTOS Per a..QDAMAGE $ XXXXXXX $ XXXXXXX B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N TH7-641-445414-049 1/1/2019 1/l/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 DED I I RETENTION $ $ XYIY—XXXX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOPJPARTNERIEXECUTIVE � OFFICER/MEMBER EXCLUDED? (mandatory in NH) If DESs, describe under CRIPTION OF OPERATIONS below N / A N WC2-641-445414-019 1/1/2019 l/l/2020 X STA TUTE OETR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L DISEASE -POLICY LIMIT S 1,000,000 C Excess Liability N N G27907751 005 1/1/2019 1/1/2020 $20,000,000 A!rAate $20,000,000 Each Occurrence DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1 D1, Additional Remarks Schedule, may be attached H more space is required) CITY OF FORT COLLINS IS ADDITIONAL INSURED UNDER GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS REQUIRED BY WRITTEN CONTRACT. 15504929 CITY OF FORT COLLINS 215 N. MASON ST. 2ND FLOOR PO BOX 580 FORT COLLINS CO 80522 t.FUYLCLLNI IVIY JCe t iLacriment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) ©1988 7"dYACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD