HomeMy WebLinkAbout103484 RNR SUPPLY INC - INSURANCE CERTIFICATE-� RNRSU-1 OP ID: BS
,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE
`.�•� 04/10/2018 10/2018
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).
CONTACT
PRODUCER Phone: 970-223-1804 NAME:
Front Range Insurance Group PHONE
2002 Caribou Drive, Ste. 101 Fax: A/c No Ext : (A/C, No):
Fort Collins, CO 80525 E-MAIL
AssuredPartners Colorado ADDRESS:
INSURERISI AFFORDING COVERAGE NAIC it
INSURER A : #%V u I Ly
INSURED RNR Supply Inc. INSURER B:Plnnacol Assurance 41190
RNR Service
Doug Curtis INSURERC:
2329 E. Mulberry St. INSURERD:
Ft. Collins, CO 80524 INSURERE:
INSURER F :
rnvcoer_ce CGRTICICATF NI IMRFR• RFVISION 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.
R POLICY NUMBER MM DD/YLICY YYY FF MM%DDY� LIMITS
INSR TYPE OF INSURANCE ADDL UINS&MI711
LTR
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X90051
03/01/2018
03/01/2019
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 10,00
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
FG�EN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC
PRODUCTS -COMP/OP AGG
$ 2,000,000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON --OWNED
X HIRED AUTOS X AUTOS
X90051
03/01/2018
03/01/2019
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
$
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
AEXCESS
X
UMBRELLA LIAB
LIAB
X
OCCUR
CLAIMS -MADE
X90051
03/01/2018
03/01/2019
EACH OCCURRENCE
$ 1,000,00
AGGREGATE
$ 1,000,00
$
DIED I X I RETENTION$ 10,000
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
4134992
03/01/2018
03/01/2019
WC STATU- OTH-
X TDRYLIMIT ER
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYEE
$ 100,000
E.L DISEASE -POLICY LIMIT
$ 500,000
A
Property
X90051
03/01/2018
03/01/2019
BPP 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
!`C�TI CI!"ATC Llr%l MCA f AW(`FI I ATInM
THECIFT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
The City of Fort Collins
281 N College Avenue
Fort Collins, CO 80524
AUTHORIZED REPRESENTATIVE
U 191 tS-ZU1 U ACUKU GUMF'UKA I IUN. An rigntS reservea.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD