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HomeMy WebLinkAboutRMS CONCRETE INC - INSURANCE CERTIFICATE��--� RMSCONC-01 IRYNAT ACORN' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `..-- 12/27/2018 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 Iryna Trauger, CISR� CIC NAME:Neil-Garing Insurance an affiliate of Mountain West Insurance & Financial PHO JAIC,No, Ext►: (970) 945-9111 j �, Nol:(970) 945-2350 Services, LLC E-MAIL PO Box 1576 AD_D_R__ESS, itrauger@veil-garing.com Glenwood Springs, CO 81602 , INSURED RMS Concrete Inc PO Box 670 Glenwood Springs, CO 81602 INSURER A: Cincinnati Insurance Company__ -- 10677 INSURER B : Pinnacol Assurance 141190 /ten\/CO At' CC' f`CCTICIr`ATC All IRfil 4 QV-11IQIn I AIIiaARi=0- 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. -- INS YI TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICYIY P LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I _ 1,000,000 CLAIMS -MADE X OCCUR X EPP0497622/EBA0497622 7/26/2018 7/26/20,9 DAMAGE TO RENTED PREMISES (Ea occurrence 300,000 $ $ 5,000 MED EXP (Any one pemon $ 11000,000 PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: $ 2,000,000 $ 2,000,000 POLICY � ima LOC PRODUCTS - COMP/OP AGG I $ OTHER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea -accident) - 1,000,000 X ANY AUTO EPP0497622/EBA0497622 7/26/2018 7/26/2019 BODILY INJURY Per arson $ BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY AUTOS $ PROPERTY DAMAGE acciderlt HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY(Per A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 51000,000 EXCESS LIAB CLAIMS -MADE EPP0497622/EBA0497622 7/26/2018 7/26/2019 X AGGREGATE $ 61000,000 $ DED X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ pFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N f A 1/1/2019 1/1/2020 X PER E X ER TAT4026391 E.L. EACH ACCIDENT _ 1,000,000 $ _ _ _ 1,000,000 $ _ 1,000 000 $ ' E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT C Pollution FEIECC2204303 10/2/2018 1 10/2/2019 'Per Claim 1,000,000 A Equipment Floater EPP0497622/EBA0497622 7/26/2018 7/26/2019 Leased/Rented Equip. 300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contractor's License Holder is included as Additional Insured under General Liability only and only in respect to ongoing operations performed by insured on behalf of holder as required by written contract. City Of Fort Collins PO 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD