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HomeMy WebLinkAbout120116 BESTWAY CONCRETE CO - INSURANCE CERTIFICATE (4)ACC>R" CERTIFICATE OF LIABILITY INSURANCE 2/DATE[M I DIYYYYI 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 Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO CONTACT NAME: Jessica Batten vxoNE 303-996-7862 FAXAIC 303-757-7719 E-MAILcall. . JBatten@crsdenver.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:The Travelers Companies INSURED BESTW-2 INSURERB:Pinnacol Assurance 41190 Bestway Concrete Company Ed Foster INSURER C 301 S. Centennial Dr. INSURERD: INSURER E Milliken CO 80543 INSURER F: rnVFRer.FS CFRTIFICATF NIIMRFR• 1801523711 RFVIQlnfd NI IMRFR- 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 INSD WVD POLICY NUMBER POLICY EFF MIWDD/YYYY POLICY EXP MMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y-630-5F600378 3/1/2016 3/1/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL B ADV I NJURY $1,000,000 GEN'L AGGREGATE LI MIT APPLIES PER: PRO - X POLICY JECT PRO ❑ LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS JED AUTOESULEDBODILY HIRED AUTOS x NON -OWNED AUTOS Y-810-5F600378 3/1/2016 3/1/2017 COMBSINGLE LIMIT INED $1,000,000 BODILY INJURY (Per person) $ Ix INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X I UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE YSM-CUP-5F600378 3/1/2016 3/1/2017 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 DED X I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERIPLIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE F-Y] OFFICER/MEMBER EXCLUDED? (Mandatory in NH) - _ If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4026925 3/1/2016 3/1/2017 PER OTH- X I STATUTE ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 EL DISEASE -POLICY LIMIT 1 $500,000 A Leased/Rented Equipment 6603E976090 3/1/2016 3/1/2017 Limit 250,000 Deductible 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) All policy terms, conditions and exclusions apply. City of Fort Collins PO Box 580 Fort 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. REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD