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Home My WebLink AboutMOUNTAIN STATES CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATEACC)R" CERTIFICATE OF LIABILITY INSURANCE DATE7/01/2019 Y) 07/01 /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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Sharpe, CIC, CRM NAME: Moody Insurance Agency, Inc. PnHiCNri Ext : (303) 824-6600 apiC No): (303) 370-0118 EMAIL laura.sharpe@moodyins.com ADDRESS: 8055 East Tufts Avenue INSURERS) AFFORDING COVERAGE NAIC # Suite 1000 Denver CO 80237 INSURERA: Continental Casualty Company 20443 INSURED INSURER B : Valley Forge insurance CO 20508 INSURER C Mountain States Construction Company, Inc. INSURER D : 385 Inverness Pkwy Ste 150 INSURER E : INSURER F Englewood CO 80112-5852 COVERAGES CERTIFICATE NUMBER: 19-20 Master w/forms 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, LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY/YYYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [X]OCCURPREMISES DAMAGE TO RENTED Ea occurrence)$ 100,000 MED EXP (Any one person) $ 15,000 PERSONAL aADVINJURY $ 1,000,000 A 6042922007 07/01/2019 07/01/2020 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 O- POLICY ❑JECT PRO ❑ LOC Limited Jobsfte Pollution $ 1,000,000 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) S X ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 6042921990 07/01/2019 07/01/2020 BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident) $ HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE 6042922024 07/01/2019 07/01/2020 AGGREGATE $ 5,000,000 DED I I RETENTION $ $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY AND Y 1 N ANY PROPRIMB RlPARTNE EEXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N / A 642922010 07/01/2019 07/01/2020 X STATUTE ERH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below Limit $5,000,000 A Builders Risk 6042931502 07l01/2019 07/01l2020 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 281 North College Avenue AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 7 G J @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD