HomeMy WebLinkAboutMERRITT TRAILERS INC - INSURANCE CERTIFICATEA� �0 CERTIFICATE OF LIABILITY INSURANCE
is/20/2018 )
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 1-720-279-3400
ONTACTNAME: Denver Certs
CONTACT-NAME:
PHONE x.720.279.3400 gAlXC No:720.279.3401
Hays Companies of Denver
E-MAIL denvercerta®ha atom aniea.com
ADDRESS: Y P
1125 17th Street
INSURERS AFFORDING COVERAGE
NAIC#
Suite 400
INSURER A:LEXINGTON INS CO
19437
Denver, CO 80202
INSURED
INSURER B: LIBERTY MUT INS CO
23043
INSURER CPINNACOL ASSUR
41190
Merritt Trailers Inc.
INSURERD:
9339 Brighton Rd.
INSURER E :
INSURERF:
Henderson , CO 80640
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THIS IS TO CERTIFY -I HAi (HE I O�I� to yr fii6Ur iYL LJME✓ f5L l VI .-a-.VZ ZEE -':Jr � L - v "�-•
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.
I�TR
TYPE OF INSURANCE
ADDL
SUBR
-
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
015375148
01/01/19
01/01/20
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE FKI OCCUR
DAMA ET RENTE
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ Excluded
PERSONAL& ADV INJURY
$ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
$ 2,000,000
X POLICY PRO ❑ LOC
JECT
B
OTHER:
AUTOMOBILE LIABILITY
I
AS2Z91466099019
01/01/19
01/01/20
IN
(Ea aocdeDiSINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
PROPERTY DAMAGE
Per accident
$
X AUTOS ONLY X AUTOS ONLY
A
X
UMBRELLA LIAB
X
OCCUR
015375149
01/01/19
01/01/20
EACH OCCURRENCE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$ 5,000,000
$
DED RETENTION $
_
X
C
WORKERS COMPENSATION
4192808
01/01/19
01/01/20
STATUTE EERH
E.L. EACH ACCIDENT
$ 500, 000
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICFR/MEMBER EXCLUDED? 1Y I
N / p`
500,000
ra+�oa�,��;
If yes, describe under
below
E.L.DIS'" �-EA EMPLOYEE
$
-
t ` ' y ~'` `"i` "'7
-, -in, I)"
"
B
DESCRIPTION OF OPERATIONS
Other States Workers' Comp
WC6Z91466099039
01/01/19
01/01/19
E.L. Limits
500,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLLIEK ""—
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
APWA Western Snow & Ice Conference THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 580 AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522
USA
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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