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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 rn- Cnoeoneo DC\/ICIn KI MIIMRFR- �,v TO T..- .din, , ,ten. , ,�c3 non ,c Fnn -rL E on- ICy DEF"-�n 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 �nnnlln ATln �1 All .. .. ti4­cnr.,e„4 11 I JVV-LV I V r,vv, �v vv..• v... .. ...... .... .� ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD IHaimson .eon1noo