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HomeMy WebLinkAboutMP CONTRACTING LLC - INSURANCE CERTIFICATEMPCONTR-01 MSWAIM ACORO `„� 11 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDMM/DD/YYYY) 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 CONTACT NAME: Forsberg Engerman Co PHONE 303 762-1717 (FAX No : 303 762-1733 3575 S Sherman St vc No Ext : ) ) Englewood, CO 80113 ADII REss: info@forsberg-engerman.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Everest Indemnity Insurance Co INSURED INSURER B: EMC Insurance Companies 21415 MP Contracting LLC INSURER C : Pinnacol Assurance 41190 550 E 64th Ave INSURER D : _ Denver, CO 80216 INSURER E : INSURER F : rnvccAr_=Q r`GDTIPI( ATF KII IIURFR• RFVISIr)R! NIIMRFR- 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 1 TYPE OF INSURANCE LTR I L INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR EF4ML02392-151 11/03/2015 11/03/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO TEff- PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7XI JECT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLLUTION AGG $ 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS NON -OWNED X HIRED AUTOS AUTOS X AUTOS 4E63082 11/03/2015 11/03/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 $ $ $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE APer accident A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE EF4C000389-151 11/03/2015 11/03/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AND Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory h, NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4082297 07/01/2015 07/01/2016 XOTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 $ 1,000,000 E.L. DISEASE -POLICY LIMIT B B Inland Marine Inland Marine 4C63082 4C63082 11/03/2015 11/03/2016 11/03/2015 11/03/2016 Leased/Rented 200,000 Scheduled Equipment 364,675 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER City of Ft. Collins 256 W. Mountain Avenue 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD