Loading...
HomeMy WebLinkAboutRHINOTRAX CONSTRUCTION INC - INSURANCE CERTIFICATEAC " CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD,NYYY) `� 1 6/28/2019 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 Commercial Risk Solutions NAME: Rebecca Leatherman 6600 E Hampden Ave Ste 200 PHONE 303 996-7801 ac No:303-757-7719 L J Denver CO 80224 no cress: stovar(acrsdenver.com INSURER A: Westfield Insurance 24112 INSURED RHINO INSURERS: Pinnacol Assurance 41190 Rhinotrax Construction, Inc. 1035 Coffman St. INSURERC: Longmont CO 80501 INSURERD. COVERAGES CFRTIFICATF NIIMRFR• if)-i,)nFae1R RGVIQIAAI MIIIIARCR- 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. EFF IR r_ — TYPE OF INSURANCE VD W( -- POLICY POLICY NUMBER MDDI LT LTR YYY MM/DOIY�(Y P umrrs A X COMMERCIAL GENERAL LIABILITY TRA3965093 6/30/2019 6/30/2020 EACH OCCURRENCE $1,000,000 _. X CLAIMS�MADE . OCCUR DAMAGE TO RENTI PREMISES Ea occurrence $500,000 MED EXP (Any one person) $ 5,000 Ij PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PEQ LOC GENERAL AGGREGATE $ 2.000,000 $ 2,000,000 PRODUCTS - COMP/OP AGG $ OTHER A AUTOMOBILE LIABILITY TRA3965093 6/30/2019 � 6/30/2020 COMBINED SINGLE LIMIT a_aCpdentj _ . $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per PERTYrltDAMA,,.___,- $ A X UMBRELLA LIAB X OCCUR TRA3965093 6/30/2019 6/30/2020 EACHOCCURRENCE $5.000.000 AGGREGATE $ EXCESS UAS CLAIMS -MADE DEC X I RETENTION $ _ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE a OFFICERIM (Mandatory In EMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N! A 4111625 7/1/2019 7/1/2020 XPER STATUTE ER E.L. EACH ACCIDENT $1.000,00_0 $1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE POLICY LIMIT — $1,000,000 A Lease/Rented Equip TRA3965093 6/30/2019 6/30/2020 Limit 50,000 Ded 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) All policy terms, conditions and exclusions apply. ter. r ram., r � I .w— City of Fort Collins PO Box 580 Fort Collins CO 80522-0580 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 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 5703