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HomeMy WebLinkAboutFRONT RANGE CONCRETE LLC - INSURANCE CERTIFICATE (5)Client#: 34900 FRONRANPC ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)9/29/2017 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 Holmes Murphy -Colorado 7600 East Orchard Rd, Ste 330 South Greenwood Village, CO 80111 CONTACT NAME: PHONE 515 223-6800 FAX (A/C, No, EXt): A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Company 20443 INSURED INSURER B : The Continental Insurance Compa 35289 Front Range Concrete, LLC INSURERC: Pinnacol Assurance Company 41190 County Road 56 Transportation Insurance Com an INSURER D : p Compan 20494 Johnstown, ohnstown, CO 80534 E : 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 CONTRACTOR 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 LTR INSR W_ VD POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY X X 6043209607 10/01 /2017 10/01 /201 EACMH OECCCURRENCE $1 000 000 CLAIMS -MADE � OCCUR PREMISES EaEoNccTu ence $100 000 X PD Ded :5,000 MED EXP (Any one person) $15 000 PERSONAL & ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY F7X JECOTI LOC PRODUCTS - COMP/OP AGG $ 2,000,000 X OTHER: $ D AUTOMOBILE LIABILITY X 6043209591 10/01 /2017 10/01 /201 EOa aoaderr:3S LE LIMIT 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS B X UMBRELLA LIAB X OCCUR 6043209610 10/01 /2017 10/01 /201 EACH OCCURRENCE s5,000,000 AGGREGATE $5 000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10000 $ `+ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N / A X 4186803 10/01 /2017 10/01 /201 X PER OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 _ DESCRIdescribe under PTION OF OPERATIONS below I E.L. DISEASE -POLICY LIMIT $1 00O 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the Certificate Holder is included as Additional Insured under General Liability with respect to the above referenced. GEH I IHGA I E KULUtK GANGtLLA I IUN The City of Fort CollinsSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 LaPorte Ave ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521-0000 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S310576/M310386 ATEC1