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HomeMy WebLinkAboutS2CR INC DBA FRONT RANGE EXCAVATION OF LARIMER COU - INSURANCE CERTIFICATES2CRINC-01 CCANTEL DA10/72019 ) '4TE � CERTIFICA E OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. 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 theterms anil 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 endorsemerd(s). PRODUCER CON ACT NAM Steamboat Select Insurance Group 405 South Lincoln Avenue Suite A )wCC,,NN , Ert , 970 879-1363 Fax ( ) tac, No :(970) 879-0239 .Ia L pDDRIE$s. office@steamboatselectins.com_ Steamboat Springs, CO 60487 INSURERS AFFORDING COVERAGE NAIC # INSURER A; Acuity A Mutual Insurance Company 14184 INSURED INSURERS: INSURERC: S2CR, Inc. dba Front Range Excavation of Larimer Cnty, "I I Rist Canyon Rd. INSURER D : INSURER E Laporte, CO 80535 INSURER F: Cr1VFRAGFLq CERTIFICATE NI IMRFR• RFVIRIr)N NI IMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE BASTED 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 LTRA TYPE OF INSURANCE ADDL INSD SUER VivoPOLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [X] OCCUR X03966 10/26/2019 10/20/2020 DAMAGE TO RENTED $ 100,000 MED EXP (Any one pemon) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY j LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY SINGLE LIMIT C a accident $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO X03956 10/26/2019 10/20/2020 OWNED SCHEDULED AUTOSONLY SAUTOS CHEDULED BOOpDILY INJURY Per accident $ PPerOacc Cent AMAGE $ X AUTOS ONLY x. AUTOS ONLY $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE X03956 10/20/2019 10/20/2020 DEC) I I RETENTION$ $ 4,000,000 _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY F PROPRIIETgOER/PARTNER/EXECUTIVE ❑ (NlarlCCatory in NH) EXCLUDED? N I A PER OTH- AT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If y DESCRIPTION OF OPERATIONS belay E.L. DISEASE - POLICY LIMIT $ A Property X03956 10/20/2019 10/20/2020 Bldg/BPP 251,888 A Commercial Inland Ma X03956 10/20/2019 10/20/2020 Sch Equip 386,008 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES. IACORD 101, Addificnal Remarks Schedule, may be attached if mrs space is required) General Liability Includes: Ends CG7194Additional 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 Recovery Against Others -Automatic Status when required in a operations for the Additional Insured. Ends CG7264 - Waiver of Transfer of Rights of contract with the insured Auto Liability Includes: Ends CA7213 -Additional Insured -Auto) Transfer of Rights of Recovery against Others - Automatic status atic Status when required by written agreement with insured Ends CA7241 -Waiver of when required by written contract or agreement with insured prior to occurrence causing BI SEE ATTACHED ACORD 101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE C of FOR Collins Police Department THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN nY P ACCORDANCE WITH THE POLICY PROVISIONS. 2221 S. Timberline Road Fort Collins, CO 80525 AUTHORIZED REPRESENTATIVE 25 (2016/03) I ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name, and logo are registered marks of ACORD AGENCY CUSTOMER ID: S2CRINC-01 LOC #: i CCANTELE ACCORV e AGENCY Steamboat Select Insurance Group POUCY NUMBER iEE PAGE 1 CARRIER iEE PAGE 1 ADDITIONAL REMARKS REMARKS SCHEDULE P 1 I EFFECTIVE DATE: of Larimer Cnty Page 1. of 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM NUMBER: ACORD 26 FORM TITLE: Certificate of. Liatiility.lrmrance FORM, Description of Operation§/Locations/Vehicles: or PD RE: John Deere 135 GLC Excavator #1 FF135GXKCE 0009 - Value $142,606, deductible $1,000 ACORD 101 (2008101) © 200.8 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD