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HomeMy WebLinkAbout118182 IHS EXCAVATING LLC - INSURANCE CERTIFICATEIHSEXCA-01 LHOFFMAN ACOR/� CERTIFICATE OF LIABILITY INSURANCE F;A7MM/DDNYYY) 04/04/2018 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 have ADDITIONAL INSURED provisions or 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 NTACT Lisa Hoffman CO AME: PFS Insurance Group PAH//c°, No, Ft): (970) 522-8888 NC, No :(970) 521-9934 131 West Main Street EMAIL Sterling, CO 80751 -DRE s: lisah@mypfsinsurance.com INSURED IHS Excavating, LLC 6421 N Co Rd 15 Ft. Collins, CO 80524 Insurance Co. f`A\/COAf`_CC f`00-r101 `ATC All IIIAOCD- A9=1k/ICIr%K1 III IMRF{7- 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR L81159 04/03/2018 04/03/2019 EACH OCCURRENCE $ 1,000,000 DAMAGETO S(RENTED PREMISES occurrence)$ 250,000 MED EXP (Any oneperson) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO -CT FLOC JE OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -AWNED AUTOS ONLY AUTOS ONLY MINED C a acciden SINGLE LIMIT $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PPe �acEcRident AMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DIED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below7 N/A I PER JOTH STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT A Equipment Floater L81159 0410"018 04/03/2019 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Attn: Lill Hoffman En Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY Y 9 P ACCORDANCE WITH THE POLICY PROVISIONS. 281 N. College Ave PO Box 580 Fort Collins„ CO 80522-6378 AUTHORIZED REPRESENTATIVE V� 4k7oli ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD