Loading...
HomeMy WebLinkAbout103166 ZAK DIRT - INSURANCE CERTIFICATE (2)Client#: 38185 ZAKDIRPC ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/26/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Holmes Murphy - Colorado 7600 East Orchard Road, Suite 230 South Greenwood Village, CO 80111 CONTACT Nick Brown NAME: PHONE 720-458-5770 FAX 844-248-0468 A/C No Ext : A/C, No ADDRESS: nbrown@holmesmurphy.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Zurich American Insurance Company 16535 INSURED INSURER B : Travelers Casualty Insurance Co of Amer 19046 Zak Dirt, Inc. Allianz Global Corporate 8r Specialty AG INSURER C : P P b 03887 14290 Hilltop Road Longmont, CO 80504 Indian Harbor Insurance Company INSURER D : P Y 36940 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. �TR TYPE OF INSURANCE NSRL WVD POLICY NUMBER MSUBR M/DDY/YYYY EFF EXP MMIDDY/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR BI Ded: $2,500 X GL0485843203 5/01/2019 05/01/2020 EACH OCCURRENCE $1,000000 PREMISESOEaoccurrence $500,000 X MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER : POLICY 51 JECOT X LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY X rive Oth Car BAP485843303 5/01/2019 0510112020 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP91 M6242919NF 5/01/2019 05/01/2020 EACH OCCURRENCE $5 000 000 X AGGREGATE $5 000 000 DED X RETENTION $1 O 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RI ETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N] (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC485843103 5/01/2019 5/01/2019 5/01/2019 5/01/2019 05/01/2020 X IPSTEARTUTOTH_ E ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C C D Leased/Rented Eq. Installation Fit. I Pollution/Profess SML93080423 SML93080423 PECO04987502 05/01/202 05/01/202 05/01/202 $1,000,000; $1,000 Ded $250,000; $1,000 Ded $1,000,000; $25,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as an additional insured as respects the General Liability and Auto Liability, as required by written contract, per the policy terms and conditions. 129111►034 A;11al2W"I City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ry THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S4426931M442682 MANV1