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Home My WebLink About102606 4 RIVERS EQUIPMENT LLC - INSURANCE CERTIFICATEA4U"J?" DATE (MM/DD/YYYY) L../ CERTIFICATE OF LIABILITY INSURANCE 061OV2019 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polices may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER David Tirdel CONTACT Sentry Customer Service PHONE FAX / • 800-473-6879 C No,.800-514-7191 EMAIL ADDRESS: businessproducts direct0sentry.cm INSURER(S) AFFORDING COVERAGE NAIC X INSURER A: Sentry Select Insurance Company 21180 INSURED 4 Rivers Equipment LLC DBA 4 Rivers Equipment 92411 th St INSURER 8 : INSURER C : Greeley, CO 80631-4043 INSURER D : INSURER E : INSURER F : l wvcrW CT. l.CnI Irlt:AIt IVUM1:51:1-1: 124b4JY RFVISIAN NIIMRPR- 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF M/DD/YYYY) POLICY EXP (MMIDDIYYYYJ LIMITS CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES a occurrence g MED EXP (Any one person) $ PERSONAL 6 ADV INJURY E GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECT 7LOC OTHER: GENERAL AGGREGATE g PRODUCTS - COMP/OP AGG $ E A AUTOMOBILE LIABILITY ANY AUTO OWNEDSCH ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 2472581007 09/01/2019 09/01/2020 COMBINED SINGLE LIMB $ 500,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ E UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE g AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NFI) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER p7H STATUTE IFER E.L. EACH ACCIDENT g E.L DISEASE - EA EMPLOYEE E E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) a Crl r ma.w r C nvwen CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 Laporte Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fat Collins, CO 80521 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 2472581 Sentry Select Insurance Company 1 00001 0000015242 19218 O N Page 1 of 2 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 08/02/2019 C983AC6E-BOF4-4563-8D6D-99A7C7D4BC42 0027020044351426081190521271900