Loading...
HomeMy WebLinkAbout102606 4 RIVERS EQUIPMENT LLC - INSURANCE CERTIFICATE (2)A CERTIFICATE OF LIABILITY INSURANCE DATE 08/02/20, YYYVy /2019 9 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 CONSTIT&E 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 policyfies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions off tthhe policy, certain policies may require an endorsement. A statement on this certificate does not confer nghts to the certificate holder in lieu of such endorsement(s). PRODUCER David Tirdel CONTACT NAM • Sentry Customer Sarvice PHONE FAX LAIC, No. • 800-473-6879 • 800-514-7191 EMAIL ADDRESS: businasyroducts diract6sorttry.com INSURER(S) AFFORDING COVERAGE NAIC M INSURER A: Sard y Select Insurance Company 21180 INSURED INSURER B : 4 Rivers Equipment LLC DBA 4 Rivers Equipment 92411th St INSURER C : Greeley, CO 60631-4043 INSURER D : INSURER E : INSURER F 41 17, cUVEHAUhS CERTIFICATE NUMBER: 1248439 REVISION NUMRFP- 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 SUER WVO POLICY NUMBER POLICY EFF M/DD POLICY EXP M/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FTJ OCCUR 2472581003 09/01 /2019 09/01/2020 EACH OCCURRENCE $ 500.000 DAMAGE TO RENTED PREMISES a ocaarence $ 100 000 MED EXP (Any one person) $ 5.000 PERSONAL 8 ADV INJURY $ gOp,ppp GENT AGGREGATE LIMIT APPLIES PER: POLICY F—] JECT 7 LOC OTHER: GENERAL AGGREGATE $ 1,500.000 X PRODUCTS - COMP/OP AGG $ 1,500.000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 2472561004 09/01/2019 09/01/2020 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 X BODILY INJURY (Per person) $ BODILY INJURY (Par accidenq $ PROPERTY DAMAGE (Par accident)$ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 2472581005 09/01/2019 08/01/2020 EACH OCCURRENCE $ 20,000,000 X AGGREGATE $ 60,000,000 DED I I RETENTION $ PRODUCTS - COMP/OP AGG $ 60,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTNE❑ OFFICER/MEMBER EXCLUDED? (Mondatory in NM If yes, describe urMer DESCRIPTION OF OPERATIONS below N/A pTH STAT UTE ER E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) a.cn I Irla ^le nvs.Uen CANCPI I ATInm City of Fat Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 Laporte Ave Fat Collins, CO 80521 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE [�/� MI Wnu L ICV 10/V3) 2472581 Sentry Select Insurance Company 1 00001 0000015243 19218 0 N I -age 1 of 2 (91988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 08/02/2019 9E2E31 D8-CCD6-4BE5-8286-495AE63E926A 0027020044351425111880521271900