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Home My WebLink About108976 L & M ENTERPRISES INC - INSURANCE CERTIFICATE (2)A� o® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1/23/2019 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 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 endorsements . PRODUCER Ewing -Leavitt Insurance Agency, Inc. 4090 Clydesdale Parkway Suite 101 Loveland CO 80538 NARMcReynolds NAME:ME: Renee cy PHONE (970) 679-7344 at No: (866)425-61e0 ADDRESS:renee-mcreynolds@leavitt.com INSURERS AFFORDING COVERAGE NAIC 9 INSURERA:Selective Insurance Company 12572 INSURED L & M Enterprises, Inc. P O Box W 735 E . Highway 56 Berthoud CO 80513 INSURER B :Pinnacol Assurance 41190 INSURER C : INSURER D : INSURER E : _ INSURERF: COVERAGES CERTIFICATE NUMBER:2-1-19/20 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF XL POLICY EXP (MMIDDIYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE OCCUR PREM SES Ea occurrence) $ 500,000 x MED EXP (Any one person) $ 15,000 Blkt WOS X S 2302880 2/1/2019 2/l/2020 x Blkt Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 � PRO - POLICY El LOC PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X S 2302880 2/1/2019 2/1/2020 BODILY INJURY (Per accident) $ x PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS X $ BIktWOS X BlktAddl Insureds X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION 0 $ S 2302880 2/1/2019 2/l/2020 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE (Mandatory MBER EXCLUDED? ( ry � ) NIA incl Blanket Waiver of Subrogation 4188429 1/1/2019 l/1/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Contractors Equipment S 2302880 2/1/2019 2/1/2020 Rented Equipment$150,000 $1,000 ded Installation Floater$1,000,000 $1,000 ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) re: BID 8095 Weed Cutting & Rubbish Removal; Certificate holder, its officers, agents and employees are named additional insured as respects both general and auto liability policies. The insurance evidenced by this certificate will not reduce coverage or limits and will not be cancelled except after thirty (30) days written notice has been received by the certificate holder. lyaCA11aL4G\Ia:Lei 411a hGVIhaAAG\INJC City of Fort Collins Attn: Purchasing Dept P O Box 580 Fort Collins, CO 80522 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 R McReynolds/RESTED ACORD 25 (2014/01) UJCniF n nni \ ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD