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HomeMy WebLinkAboutSAFETY RAILS OF COLORADO INC - INSURANCE CERTIFICATE (9)--� SAFET-9 OP ID: DP ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 12/21/201 YY) 12/21 /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 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 CONTNAME: Michael J Schmitt CIC Rich & Cartmill Ins of CO PHONE of Colorado LLC Alc No E.11:970-356-8030 1AA/c,youf: 970-356-8032 8213 W. 20th Street EMAIL -- — Greeley, CO 80634 ADDRESS: Michael J Schmitt CIC INSURERS AFFORDING COVERAGE NAIC # INSURER A: Twin City Fire Insurance Co INSURED Safety Rails of Colorado, Inc; INSURERB: Depositors Ins Co Custom Fence & Supply, Inc; Home Builders Services, Inc; INSURERC: Pinnacol Assurance Custom Leasing, Inc INSURERD: 3031 Highway 119 Longmont, CO 80504 INSURERE: _ INSURER F : _ COVFRArFS CFRTIFICATF NI)MRFR- REVISION Nt1MRFR: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY DEP,IOn 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 ADDL UB-- ------- _-- -- - - -_---� POLICY EFF POLICY LTR TYPE OF INSURANCE j POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY i. EACH OCCURRENCE $ 11000,00 CLAIMS -MADE X OCCUR J �J X 134ECSOA8354 01/01/2017! 01/01/2018'PREMI ES Eaoccrr PREMI$ESLapccurren� $ _ + 30.0Q_0_ �X Contractual Liab — onracua MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE X I POLICY 71 PRO- LOC PRODUCTS - COMP/OP AG_G $ 2,000,00 7 OTHER Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidence --. - $ 1,000,000 - . BODILY INJURY (Per person) $ B X ANY AUTO 7564734203 01/01/2017 01/01/2018 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ T NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PeraccldentL_.__. 1 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ +EXCESSLIAB _ CLAIMS -MADE AGGREGATE _ _ $ DED RETENTION $ $ WORKERS COMPENSATION X PER ER STATUTE R AND EMPLOYERS' LIABILITY C Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 4098724 01/01/2017 01/01/2018 E.L. EACH ACCIDENT $ 600,000 OFFICER/MEMBER EXCLUDED' (Mandatory in NH) N/A -- E.L. DISEASE - EA EMPLOYEE — $ 500,00 It yes, describe Uncle: :DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ACORD 101. Additional Remarks Schedule, may be attached it more space is required) City of Fort Collins is listed as additional insured as pertains to the General Liability policy, per written contract. CIT-FCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason St Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE Michael J Schmitt CIC © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD