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HomeMy WebLinkAbout243031 BC SERVICES INC - INSURANCE CERTIFICATEA�� ® DATE (MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE F6/16/2019 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. It 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 NAME: RM Longmont TrueNorth Companies, L.C. PHONE FAX 275 S Main Street, Suite 100 m 303-776-5122 A/ 0:303-776 5495 Longmont CO 80501 ADOgESs: longmontsm@truenorthcompanies.com INSURED Bc Services, Inc. P0Box 1317 Longmont CO 80502 BCSERVI-01 INBURER(S) AFFORDING COVERAGE NAIC # .__. _ INSURER A: West American Insurance Company 44393 INSURER a :_ Ohio Security Insurance Company 24082 INSURERC: The Ohio Casualty Insurance Company 24074 INSURERD: Pinnacol Assurance 41190 COVERAGES CERTIFICATE NUMRFR.9n59ngR3Rq RFVISION N11MRFR- 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. ._FF _. _- _ _.DEED_ ILTkTYPE OF INSURANCE `— ~T4DDLi5UBR� �..___ MIDD/ EFF PMIDD/Y XP LIMITS LTR POLICY NUMBER MM/D ! MM D/YY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE %� 1 OCCUR i_J Y BKVV57687740 3/24/2019 3/242020 EACH OCCURRENCE $1,000,000 AMPS S�E �� )_j_ PR�MI E rc n e $100,000 __ MED EXP (Any _one persons _ $ 15,000 PERSONAL & ADV INJURY_ $ Y' — GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X� POLICY _ JECT _; LOC J OTHER: _..---._---- PRODUCTS- COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY BASS7887740 324/2019 • 3/24/2020 COMBINED SINGLE LIMIT LF��ldent�, 1 $1,000,000 BODILY INJURY (Per person) $ ANY AUTO i OWNED SCHEDULED .AUTOS ONLY AUTOS X HIRED X ; NON -OWNED AUTOS ONLY I AUTOS ONLY BODILY INJURY (Per accident) _ PFIOPERTYOAMAGE (Per accident) $ $ $ C X UMBRELLA UAB X OCCUR US057687740 3242019 3242020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB _ CLAIMS -MADE DED 'RETENTION $ 1 n nnn $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORiPARTNER/EXECUTIVE OFFICERiMEMBEREXCLUDED? NIA 516892 7/1/2019 7/1/2020 X STATH _ -TUTE_ .__ ER E.L. EACH A .___—..___-CC_DENIDENTT.._.___ $ 100,000 $100,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE If yyes. describe under DESCRIPTION OF OPERATIONS below _.______ E.L. DISEASE - POLICY LIMIT $ 500,000 I I DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is Additional Insured as their interest may appear in operations of the Named Insured on their behalf, as required by written contract, with respect to General Liability Lat1 I II-IUA I t MULL)tFf 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. REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 2 229