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HomeMy WebLinkAboutWCSC ACQUISITION COMPANY LLC - INSURANCE CERTIFICATEA Ro LP PCOTICIPATC nc i IIAraii 1Tv IKIci IDAKirrC DATE(MMIDWYM vr■. ■ an ■vr■■ r v■ r■r-■_r■ra ■ ■ ■■.vv■�rA■�vr 10/27/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE FOLDER. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT- If the certificate holder is an ADDITIONAL INSURED, the terns and conditions of the policy, certain policies may lquire certificate holder in lieu of such endorsement(s).- the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to sin endorsement A statement on this certificate does not confer rights to the PRODUCER Emery b Kerrigan Inc. 9880 SW Beaverton Hillsdale Hwy Suite 202 Beaverton OR 97005 NAME: MO,lly, McCarthy PHONE FAX No. (503)441-e01e WilessicavOemerykarrigan.com INSURE S AFFORDING COVERAGE NAICp 1NsuRERA:HDI Global Specialty BE RA1340041 INSURED WCSC Acquisition Company LLC dba Winslow Crane Service Company 3002 South Huron St Englewood CO 80110 INsuRERB:Indian Harbor Insurance Cc 36940 INSURERC: INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INS. SUER 15MI LICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AMAGE TO RENT PREMI ES Ea oarmenol $ 300,000 A CLAIMS -MADE ❑X OCCUR 1CHNP9-0003001-02 1/1/2019 1/1/2020 MED EXP (Arry one person) $ 5,000 PERSONAL -B ADV INJURY $ 1,O,60, 000 X Hook Liability X Over the Road GENERAL AGGREGATE $_ 2, 000, 000 WBUZ EQUIPMENT GEN'LAGGREGATE LIMIT APPLIES PER: 'PRODUCTS - COMPIOPAGG $. 2,.000.,000 .POLICY ,X. PR4 .LOC. EMPLOYEE BENEFITS $ _1.,000.,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY Fer person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS BODILY INJURY Per accident) $ PROPERTY DAMAGE Per accident $ NOZANED HIREDAU1 AUTOS UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5i000,000 X AGGREGATE $ 5,000,000 B EXCESSLu1B CLAIMS -MADE 0046790 4 1/1/2019 1/1/2020 DED I X I RETENTION.$ $ WORKERS COMPENSATION VAC STATU-. OTH- TORY LIMITS ER AND EMPLOYERS: LIABILITY ... YIN ANY R/PARTNE E.L. EACH ACCIDOFFIENT $. EEXECUTIVE ❑ CERIMEMB ER EXCLUDED? NIA (Mandatory In (Mandatory in NH) - E.L. DISEASE.EA EMPLOYEE $ _ If yes, describe under DESCRIPTION OF OPERATIONS below - - E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlach ACORD 101, Addldonal Remarks Schedule, If more apace Is repWred) Evidence of insurance. CERTIFICATE,HOLDER - CANCELLATION_ 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 P.O. BOX 590 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 I / Rick Emery/JV /C ACORD 25 (2010/05) 1©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (2o1omyo+ The ACORD name and logo are registered marks of ACORD