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HomeMy WebLinkAboutE-Z EXCAVATING INC/ DAVIES EQUIPMENT COMPANY LLC - INSURANCE CERTIFICATEEZEXCA OP ID:JDB ACORO CERTIFICATE OF LIABILITY INSURANCE FDAE (MM/DD/YYYY) 06/26/2015 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 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 endorsements . PRODUCER CRS/Surescape Ins. Services 6600 E. Hampden Ave. Denver, CO 80224 CONTNAME: Jessica Batten PHONE FAX ac No E,re : 303-996-7800 No): 303-757-7719 ADDRESS: Jbatten@crsdenver.com Erik E. Ulibarrl INSURERS AFFORDING COVERAGE NAIC # INSURER A: Westfield Insurance 24112 INSURED E-Z Excavating, Inc. INSURERB: United Speciality Insurance Co Davies Equipment Company, LLC P.O. Box 1439 Longmont, CO 80502 INSURERC: Navigators Insurance Co. INSURER D : Pinnacol Assurance INSURER E: Markel Insurance Co. INSURER F : 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 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 LTR OF INSURANCE ADDLTYPE INSD V POLICY NUMBER MMIDDPOLICY /YYYY /Y MMIDDYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE FRI OCCUR X BT01527787 07/01/2015 07/01/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,00( MED EXP (Any one person) $ 5,00 E CPL Pollution 15CPLOSE20192 03/26/2015 07/01/2016 X BI/PD Ded: $5,000 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,00 POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,00 Pollution $ 1,000,00 X OTHER Pollution Ded 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00( BODILY INJURY (Per person) $ A X ANY AUTO CMM1614596 07/01/2015 07/01/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 X AGGREGATE $ 10,000,00 C EXCESS LIAB CLAIMS -MADE GAI5EXC6210151C 07/01/2015 07/01/2016 DED I X RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y f N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4058319 07/01/2015 07/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ 1,000,00 A Lease/Rented Equip CMM1614596 07/01/2015 07/01/2016 Limit 600,00 Special Form/ACV Ded 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION CITYFTC City of Fort Collins 300 LaPorte Avenue Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD