HomeMy WebLinkAboutSAFETY RAILS OF COLORADO INC - INSURANCE CERTIFICATE (5)ACOR 7 0
CC) CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
12/29/2018
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 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
W TAUT
NAME: Jennifer Hunter
Professional Risk LLC
AHONE Ext: (970)356-8030 A/C, No): (9 0)356-6032
8213 W.20th St
ennifer.hunter@ roriakllc.com
E-MAIL ADDRESS: P
INSURER(S) AFFORDING COVERAGE
NAIC tt__
INSURERA.Twin City Fire
Greeley CO 80634
INSURED Safety Rails of Colorado, Inc.; Custom Fence 6
INSURER B: National Indemnity Company
_
INSURER C. Berkshire Hathaway Homestate Companies
Supply, Inc.; Custom Leasing, Inc.
INSURER 0.
3031 Highway 119
INSURER E :
INSURERFi
_
Longmont CO 80504
K�.411I L911111141111 IIII J, I __14;i22M2AL%*M12 :f=k7&9Lei 71!to] ,I:I=1
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.
INSR
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFF
MMDD/YYYY
MM /DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE ❑X OCCUR
NTE
PREMISES Ea occurrence
$ 300,000
X
MED EXP (Any one person)
$
Contractual Liability
34ECSOA8354
1/1/2019
2/1/2019
PERSONAL & ADV INJURY
_
$ 1,000,000
_
GENT AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
X POLICY 7JET LOC
PRODUCTS COMP/OP AGG
$ 2, 000, 000
EmloyeeBeneras
$ 1,000,000
OTHER.
AUTOMOBILE LIABILITY
COMBINED L LIMIT
Ea aaitlentL_
$ 1,000,000
BODILY INJURY (Per person)
$
B
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
73APB0o2860
1/1/2019
1/1/2020
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
NON -OWNED
HIRED AUTOS AUTOS
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MACE
DED I I RETENTION $
$
WORKERS COMPENSATION IN
AND EMPLOYERS' LIABILITY Y
OTH-
X STATUTE ER
E.L EACH ACCIDENT
$ 1,000,000
ANY PROPRIETOR/PARTNER/EXECUIIVE —'I
..
C
OFFICE R;MEMBER EXCLUDED?
(Mandatory in NH) --�
r
N A
CUWC031240
1/1/2019
1/1/2020
E L DISEASE EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
I !
i
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101 Additional Remarks Schedulemaybe attar-hed if more space is required!
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins Sales Tax
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 REPRESENTATI F
rive Per-
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ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)