HomeMy WebLinkAboutSAFETY RAILS OF COLORADO INC - INSURANCE CERTIFICATE (7)A�0 DATE (MM/DD/YYYY)
�. CERTIFICATE OF LIABILITY INSURANCE 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 NAME:' Jennifer Hunter
Professional Risk LLC HONE.,
Ext: (970)356-8030 FA/c, No: (9 O)366-8032
8213 W.20th St E-MAIL 7ennifer.hunter@proriskllc.com
ADDRESS
INSURER(S) AFFORDING COVERAGE _ NAIC
Greeley CO 80634 INSURERA:Twin City Fire _
INSURED Safety Rails of Colorado, Inc.; Custom Fence & INSURER B: National Indemnity Company_ _
Supply, Inc.; Custom Leasing, Inc. INSURER C: Berkshire Hathaway Homestate Companies
3031 Highway 119 INSURER D
INSURER E
Longmont CO 80504 INSURER F
COVERAGES CERTIFICATE NUMBER:19-20 CO -All 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
INSR
LTR
TYPE OF INSURANCE
DL
INSD
U R
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
X
COMMERQAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE I ..� OCCUR
PREMISES Ea occurrence
$ 300,000
X
MED EXP (Any one person)
$
Contractual Liability
34ECSOA8354
1/1/2U39
2/1/203.9
PERSONAL & ADV INJURY
$ 1,000,000
I
GEN'L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGAT E
$ 2,000,000
X POLICY D JPERQ LOC
I
PRODUCTS -COMP/OP AGG
$ 2,000,000
Employee Benefits
$ 1,000,000
OTHER
AUTOMOBILE LIABILITY
OMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
B
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
73APB002860
1/1/2019
1/1/2020
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
NON -OWNED ED
HIRED AUTOS AUTOS
_
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
I
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
I
X OTH-
STATUTE ER
L L EACH ACCIDENT
$ 1,000,000
-'—
ANY PROPRIETOR/PARTNER/EXECUTIVE
I
C
OFFICER/MEMBER EXCLUDED? C _
(Mandatory in NH) �J
N / A
CUWC031240
1/1/2019
1/1/2020
--
EL. DISEASE - EA EMPLOYEE
$ 1,000,000
E L. DISEASE - POLICY LIMIT
$ 1,000,000
If yes desmbe under
DESCRIPTION OF OPERATIONS below
i
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be anached if more space is required)
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
215 N Mason St
Fort Collins, CO 80522
SHOULD ANY OF rHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE.
U 1986-2014 ACORU CURPURA I IUN. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)