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HomeMy WebLinkAboutBENSON ROLLOFF SERVICES LLC - INSURANCE CERTIFICATE (2)A� V CERTIFICATE OF LIABILITY INSURANCE ° li /2G" 5"' 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 endorsement(s). PRODUCER CENTENNIAL INSURANCE AGENCY, LLC. 700 17th.Street, #675 Denver CO 80202 CONTACT NAME: Linda Rivers PHONE (303)295-1700 No,(303)295-2121 E-MAIL lrivers®centennial-ins.com ADDRESS: INSURERS AFFORDING COVERAGE NAIL # INSURERA:Cincinnati Insurance 10677 INSURED Benson Rolloff Services, LLC 6885 Lowell Blvd. Denver CO 80221 INSURERB:Cincinnati Indemnity Company23280 INSURERC:P1nnacol Assurance 41190 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER-15/16 Master 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 TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDDNYYY) LIMITS % COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS -MADE ❑R OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP(Any one person). $ 10,000 EW0359718 10/23/2015 10/23/2016 PERSONAL& ADV INJURY $ 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 % POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG$ 2,000,000 I $ OTHER: AUTOMOBILE LIABILITY COMBINED SINULL LIMIT Ea accident 11000,000 $ 'e BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS EBA0359718 10/23/2015 10/23/2016 BODILY INJURY (Per accident) $ R PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS % AUTOS _ Hired & Non-Onwed Auto $ 1,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNEWEXECUTIVE E.L. EACH ACCIDENT $ 100,000 OFFICEC (Mandatory In NHR EXCLUDED? N / A 9063853 12/1/2015 12/1/2016 E.L. DISEASE - EA EMPLOYE $ 100,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) City of Fort Collins PO Box 580 Ft. Collins, CO 80522 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 Swanson/LINDA ©1988-2014 ACORD CORPORATION. All riahts reserved ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD I NS025 (201401)