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HomeMy WebLinkAboutANDALE READY MIX CENTRAL INC - INSURANCE CERTIFICATEA� "' CERTIFICATE OF LIABILITY INSURANCE u)/uzozo DA9/10/DDlYYYY) 9/30/2019 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 Lockton Companies CONTACT IN FAX AIC No Ezt : A/C No : 444 W. 47th Street, .Suite 900 Kansas City MO 64112-1906 (816)960-9000 E-MAIL AFFORDING VERAGE NAIC Is INSURER A : Zurich American Insurance C om anv 16535 INSURED ANDALE READY MIX CENTRAL, INC. INSURER B : Indian Harbor Insurance Company 36940 INSURER C : The Continental Insurance Company 35289 1443526 ANDALE CONSTRUCTION, INC. 3170 N. OHIO WICHITA KS 67219 INSURER Travelers Properly Casually Co of America 25674 INSURER E, INSURER !`nvCoaGCC* PFGTICIrATGNIIMRFR- 1,1711110 RFVI.RInNNIIMRFR• XXXXXXX 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 TR TYPE OF INSURANCE ADDL H SUBR y,/y0 POLICY NUMBER POLICY EFF MM/ IYYYY POLICY EXP M / LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR Y N GLOO183143-03 10/1/2019 10/1/2020 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea o=rrence 100,000 MED EXP (Any oneperson) 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000.000 PRO- FX LOC �( POLICY JECT PRODUCTS - COMP/OP AGG $ 210001000 $ OTHER I A AUTOMOBILE LIABILITY Y N BAP0183144-03 10/1/2019 10/1/2020 Ea aBe NE�DitSINGLE LIMIT $ 1000,000 BODILY INJURY (Per person) $ )CYX)O{ X ANY AUTO BODILY INJURY (Per accident $ X){XXXXXAUTOS AUTOS ONLY AUTOSULED ONLY X AUUTOS ONL� I nDAMAGE (Per PROPERTY $ XXXXXXX $ XXXXXXX B X UMBRELLA LIAB ){ OCCUR N N SXS005272801 10/1/2019 10/1/2020 EACH OCCURRENCE $ 5000000 AGGREGATE s 5,000,000 EXCESS LULB CLAIMS -MADE DIED I I RETENTION $ $ XX)CYxx C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY OFFICEHIMEMBER EXCTUDEER/E ECUTIVE a (Maensdatory in NH) N / A N WC0183142-03 10/1/2019 10/I/2020 X STATUTE GEIi E.L. EACH ACCIDENT $ 1000 000 E.L. DISEASE -EA EMPLOYEE 1,000000 If y DESC PTIONOFOPERATINSMI. E.L. DISEASE -POLICY LIMIT s 1,000,000 D C INSTALLATION FLOATER EXCESS LIABILITY N N Q'I-630-2L726757-TIL-19 6011771167 10/1/2019 10/1/2019 10/1/2020 10/1/2020 LIMIT:$250,000 $500Q000 EACH INCIDENT $5,000,000 PER AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED ON GENERAL LIABILITY AND AUTO LIABILITY COVERAGE, IF REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. THE INSURANCE EVIDENCED BY THIS CERTIFICATE WILL NOT BE CANCELLED OR MATERIALLY ALTERED, EXCEPT AFTER TEN (10) DAYS WRITTEN NOTICE HAS BEEN RECEIVED BY THE CITY OF FORT COLLINS. GtK I ItIGA It MULULK I.AIYI.CLLH I t V ry SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14721110 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS PURCHASING DEPARTMENT PO BOX 580 FORT COLLINS CO 80522 � .r097 i1G7 W7-16�1 ACORD 25 f20161= ©1 8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD