HomeMy WebLinkAboutBENSON ROLLOFF SERVICES LLC - INSURANCE CERTIFICATEACOR& CERTIFICATE'OFI
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LIABILITY INSURANCE
DATE("N>DonYYY'
11/8120.1131
THIS CERTIFICATE IS ISSUED. AS A MATTER OF INFORMATIOO
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: It the certificate holder Is an ADDITIONAL INSURED,
If SUBROGATION IS WAIVED, subject to the terms and conditions
the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.
of the policy, certain policies may require an endorsement. A statement on
this.certificate does not confer.rl hts to the certificate holder.ln.lieu
of. such endorsements .. .. .. . ... .. . .... .. . ..... .. .- . ._._ __ . __.._ _ _ _ ...
PRODUCER
CRS Insurance Brokerage
6600 E Hampden Ave
Denver CO 80224
CONTACT
NAME:, ScotfAnderson, CIC
PHONE 303c996-7833.. ac No: 303 757-7719
/C.
E hl
DOREss: sand6moncacrsd6nv6lr.corn
INSURERS) -AFFORDING COVERAGE
NAIC p
-INSURER A: Secure Insurance Co.
,INSURED BENS&SE-01
Benson Rolloff Services, LLC.
Benson's Rolloff Services, LLC
INSURERS:.
1NSURERC:
INSURER D
6885-6857 Lowell Blvd.
INSURERS:
Denver CO
INSURER F;
.
COVERAGES CERTIFICATE'NUMBER: 987573037 REVISION NUMBER:
THIS IS TO CERTIFY THAT.THEPOLICIES 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 REDUCED BY PAID CLAIMS.
... .. ...
I�TR
TYPEOFINSURANCE
SO
YO
P000YNUMBER
EYF
PMMNDIYI'
WDYtAyXF
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx� OCCUR
Y
Y
CP3314029 I
11/7/2019
11f7/2020
-
EACH OCCURRENCE
$1,000.000
-5APAU70- RENTED
PREMISES Me occurrence
$100;000
MED. EXP (Any onePerson)
$ 5 000
PERSONAL &'ADV INJURY
$1,600,600
GEN'L
AGGREGATE LIMIT APPLI ES PER:
POLICY T jE0T D LOC
OTHER:.-
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
$ 2;060,000
$
'A
AUTOMOBILELUUTILITY
ANY: AUTO
OWNED -SCHEDULED
AUTOS ONLY AUTOS
HIRED Fvj NON -OWNED.
AUTOSONLY x AUTOS ONLY
Y
Y
A3314043
11f7/2019
11/7/2020
A161 INED SINGLE LIMIT
l€e acddentl
$1`,000,000
_
X_
BODILY INJURY (Per.person)
$
-
BODILY INJURY (Per accidenq
$
X..
POPERd1Y11AMAGE
_
$
$
.
-UMBRELLA LIAR
EXCESS UAB
OCCUR
CLAIMS -MADE
I
EACHOCCURRENCE.
$ ..
i
ii
AGGREGATES
$
DED RETENTION$
...
$ .._
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNERIEXECUTIVE O
OFFICER/MEMSER EXCLUDED? -
(Mandatory In NH)
It yes. describe under
DESCRIPTION OF.OPERATIONS below
-
N/A
-
STAT TE
ER:
EL. EACH ACCIDENT
..
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE • POLICY LIMIT
$
II
i
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltionel RermuM
All policy terms, Conditions and exclusions apply.
Schedule, may be ettsched It more epaoe is required)
CFRTIFICATF Nni InI CANCFLLATInN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE 'DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
019W2015 ACORD CORPORATION.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
All rights reserved.
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