The URL can be used to link to this page

Home My WebLink AboutWILLMARK ENTERPRISES INC - INSURANCE CERTIFICATE (6)DATE (MMIDD/YYYY) A� o® CERTIFICATE OF LIABILITY INSURANCE 6/26/2017 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 Brandie NAME: Zuckerman, CRIS Moody Insurance Agency, Inc. a/c°NE Ext: (303) 824-6600 � No: (303)370-0118 8055 East Tufts Avenue E-MAIL ADDRESS: brandie.zuckerman@moodyins.com Suite 1000 INSURE S AFFORDING COVERAGE NAIC0 Denver CO 80237 INSURERA:Cincinnati Insurance Com panies INSURED INSURER B :Pinnacol Assurance 41190 Willmark Enterprises Inc INSURERC: P O Box 120 INSURERD: Firestone CO 80520 1 INSURERF: rnvcoAnrc r`cDTICIC'ATC KilivaF0•17-1R Master RFVISInN 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 TYPE OF INSURANCE A L POLICY NUMBER MM/fSM LDDY/YYYY MM DDY EXP LTR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE I OCCUR PREM IS (Ea occ r ence) $ 100,000 MED EXP (Any one person) $ 5,000 X ENP0444642 7/1/2017 7/1/2018 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY -- PE� D LOC POLICY LK r $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS ENP0444642 7/1/2017 7/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ 5,000 X UMBRELLA LIAR 1 X OCCUR EACH OCCURRENCE $ 1,000 000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION 0 $ ENP0444642 7/1/2017 7/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,000 B OFFICER/MEMBER EXCLUDED? 171 (Mandatory in NH) NIA 4059734 7/1/2017 7/1/2018 E.L. DISEASE - POLICY LIMIT $ 1 000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Contractors Equipment ENP0444642 7/1/2017 7/1/2018 Limit 104,282 A Installation Floater ENP0444642 7/1/2017 7/1/2018 Limit 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Fort Collins is included as additional insured, per written contract. GhliIIFIUAIt HULUtK t1ANl+GLI-AIIVIY City of Fort Collins 300 LaPorte Ave 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 Zuckerman, CRIS/BRAS U 1988-2014 AGURU GUKF'UKA I IUN. All ngnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401 )