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HomeMy WebLinkAboutMP CONTRACTING LLC - INSURANCE CERTIFICATE (3)MPCONTR-01 MSWAIM ACO�Q" �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F11/3/2016 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 CONTACT NAME: PHONE (AIC, No, Ext): (303) 762-1717 iFAX No):(303) 762-1733 Forsberg Engerman Co 3575 S Sherman St Englewood, CO 80113 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Everest Indemnity Insurance Co INSURED INSURER B : EMC Insurance Companies 21415 INSURER C : Pinnacol Assurance 41190 MP Contracting LLC INSURER D : 550 E 64th Ave Denver, CO 80229 INSURER E INSURER F : COVERAGES CERTIFICATE MIMRFR- 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 ITRA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [X] OCCUR EF4ML02392-161 11/03/2016 11/03/2017 DAMAGE TO RENTED REMISES E occurre ce 100�000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY [X] JECT LOC OTHER: POLLUTION AGG $ 2,000,000 B AUTOMOBILE LIABILITY Ee aB.,dED SINGLE LIMIT .,dent) $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO 4E63082 11/03/2016 11/03/2017 BODILY INJURY Per accident BODILY $ OWNED SCHEDULED AURTOS ONLY AUTOS Pe�aCcRdentDAMAGE $ X AUTOS ONLY X AUUTOS ONLDY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAB CLAIMS -MADE EF4C000389-161 11/03/2016 11/03/2017 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) NIA 4082297 07/01/2016 07/01/2017 X PER OTH- T R E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000.000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below A Pollution EF4ML02392-161 11/03/2016 11/03/2017 Aggregate 2,000,000 A Pollution EF4ML02392-161 11/03/2016 11/03/2017 Per occurence 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ft. Collins 256 W. Mountain Avenue Ft. 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 ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD