HomeMy WebLinkAboutHEATH STEEL LLC - INSURANCE CERTIFICATE (3)AC ORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
12/26/2018
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 Shannon Kammerer
NAME:
Flood and Peterson
AH1 NNo Ext : (970) 356-0123 q/c No): (970) 330-1867
E-MAIL SKammerer@floodpeterson.com
ADDRESS:
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A : Zurich American Insurance Company
16535
Greeley CO 80632
INSURED
INSURER B : Travelers Property Casualty Company of America
25674
INSURER C : Zurich
Heath Steel, LLC
INSURER D :
PO Box 473
INSURER E :
INSURER F :
Fort Collins CO 80522
cnvFRnr.Gc CFRTIFICOTF NIIMRFR x12/31/18-19 Master 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.
INTR
TYPE OF INSURANCE
ADDLISUBRI
INSD
WVD
POLICY NUMBER
MM/DOY EFF
MMIDDIYY POLICY P
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE ® OCCUR
DAMAGE TO RENTE7-
PREMISES Ea occurrence
S 300,000
MED EXP (Any one person)
S 51000
A
GLA013704704
12/31/2018
12131/2019
PERSONAL& ADV INJURY
$ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY ® ECT LOC
BLNKT
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
S
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY'Per.,
GLA013704704
12/31/2018
12/31/2019
PROPERTY DAMAGE
Per accident
S
Medical payments
s 5,000
X
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
B
EXCESS LIAB
CLAIMS -MADE
ZUP41MI464018NF
12/31/2018
12/31/2019
DED I X RETENTION S 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN N
ANY PROPRIETORIPARTNER/EXECUTIVE a
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
NIA
WC0149561-01
12/31/2018
12/31/2019
PER OTH-
PER
ER
E.L. EACH ACCIDENT
1,000,000
$
E.L. DISEASE - EA EMPLOYEE
1,000,000
$
E.L. DISEASE - POLICY LIMIT
1,000,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
U 1988-2015 ACORD CORPORATION. All rights reserves.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD