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HomeMy WebLinkAboutSAFETY RAILS OF COLORADO INC - INSURANCE CERTIFICATE (8)ACO►RC) CERTIFICATE OF LIABILITY INSURANCE SAFET-9 OP ID: AL DATE (MM/DD/YYYY) 12/22/2015 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 endorsement(s). PRODUCER CONTACT NAME: _Michael JSchmitt CIC Rich & Cartmill Ins of CO PHONE FAX of Colorado LLC we No ExtJ_970-356-8030 (AIC, No): 970-356-8032 8213 W. 20th Street E-MAIL ADDRESS: Greeley, CO 80634 Michael J Schmitt CIC INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Allied General Agency INSURED Safety Rails of Colorado, Inc; Custom Fence & Supply Inc; Home Builders Services Inc; Custom Leasing Inc. 3031 Highway 119 Longmont, CO 80504 INSURER B : Pinnacol Assurance INSURER C : Navigators Specialty Ins Co INSURER D : Twin City Fire Insurance Co INSURERE: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM I D/YYYY POLICY EXP MM DD/YYYY LIMITS D X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Contractual Liab X 34ECSOA8354 01/01/2016 01/01/2017 EACH OCCURRENCE $ 1,000,00C DAMAGE TO RENTE PREMISES Eaoccurence $ 300,000 X MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00C GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- ❑ LOC JECT OTHER. GENERAL AGGREGATE $ 2,000,00C X PRODUCTS - COMP/OPAGG $ 2,000,000 Emp Ben. $ 1,000,00C A AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS ( 7554734203 01/01/2016 01/01/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,00C BODILY INJURY (Per person) _ $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CH16UMB1198171C 01/01/2016 01/01/2017 EACH OCCURRENCE $ 1,000,00C AGGREGATE $ 1,000,00C DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RIETOR/PARTNER/EXEC UTIVE Y/N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4098724 01/01/2016 01/01/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 ' E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 I � I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more space is required) City of Fort Collins is named as additional insured as pertains to the general liability policy, per written contract. CERTIFICATE HOLDER CANCELLATION CIT-FCO City of Fort Collins 215 N Mason St 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. AUTHORIZED REPRESENTATIVE Michael J Schmitt CIC © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD