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HomeMy WebLinkAboutS2CR INC DBA FRONT RANGE EXCAVATION - INSURANCE CERTIFICATE (4)NOlY, �t 5¢4NtitC__( S2CRINC.n1 CCANTFLF /� 7 A41 C)IR ®' lls� CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODNYYY) 10n/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 N NT'CT Steamboat Select Insurance Group 405South Lincoln Avenue Suite i4 ac°NNo, Extl: (970 879-1363 FAX ) (A/C, No):(970) 879-0239 DDAILS,, c)fficeasteamboatselectins.com Steamboat Springs, CO 80487 INSURE S AFFORDING COVERAGE NAIL # INSURER A: AcuityA Mutual Insurance Company 14184 INSURED INSURER B : INSURERC: S2CR, Inc. dba Front. Range Excavation of Larimer Cnty 4411 Rist Canyon Rd. INSURER D : INSURER E : Laporte, CO 80535 INSURERF: rnVFRAr:FC rFRTIPIr`ATF NI IMRFR• RFVICInN NIIMRFR• 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF PMLIp EXP LIMITS A X COMMERCIALGENERALLIABILITY EACH OCCURRENCE Is 1,000,000 CLAIMS -MADE X OCCUR ❑ X X03956 10/20/2019 10120/2(120 DAMAGETORENTED MI FS1Ea acwtLe c 160,DDD $ MED EXP (Any.one.person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ j ❑ LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS - COMP/OP AGO $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee akrade(it) 1,000,000 $ BODILY INJURY (Per erson $ ANY AUTO OVINEAUTOS SCHEDULED AURTEOES ONLY AUOTNOSWNEDAUTOS X03966 10/20/2019 10/20/2020 BODILY INJURY' Per accident $ PROPER 'dE ra AGE $ ONLY X AUTO ONLY Ix A X UMBRELLA-UAB X. OCCUR EACH OCCURRENCE Is 4,000,000 EXCESS LIAB CLAIMS -MADE 10/20/2019 10/20/2020 AGGREGATE $ DED RETENTION $ IX03956 Is 4,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPREIETORIPARTNERIEXECUTIVE OFF�NEL In )? EXCLUDED? ❑ ll�My N 1 A STAT TE ERH- E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYE $ DESCRIPTION OF OPERATIONS below IE.L. DISEASE -POLICY LIMIT' $ A Property X03956 10/20/2019 10/20/2020 BIdgBPP 261,888 A Commercial Inland Ma X03956 10/20/2019 10/20/2020 Sch Equip 385,008 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addidonal Remarks Schedule, may be spehed If more space Is required) General Liability Includes: Ends CG7194 Additional insured - Owners, Lessees or Contractors - Automatic status when required in construction agreement with insured - Primary and Non -Contributory in the performance of insured's ongoing operations for the Additional Insured. Ends CG7264 - Waiver of Transfer of Rights of Recovery Against Others - Automatic Status when required in a contract with the insured Auto Liability Includes: Ends CA7213 - Additional Insured -Automatic Status When required by written agreement With Insured Ends CA7241 - Waiver of Transfer of Rights of Recovery against Others - Automatic status when required by written contract or agreement with insured prior to occurrence causing BI SEE ATTACHED ACORD 101 City of Fort Collins PO Box 58.0 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONDATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE.POLICYPROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (20161031 © 1988-2015 The ACORD name and logo are registered marks of ACORD All rights reserved.