HomeMy WebLinkAboutSAFETY RAILS OF COLORADO INC - INSURANCE CERTIFICATE (10)SAFET-9
FACORN DATE (MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 12/27/2017
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 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 endorsements .
PRODUCER 970-356-8030 CANtcT Michael J Schmitt CIC __- _ --
Rich & Cartmill Ins of CO PHONE 970-356-8030 FAX 970-356-8032
of Colorado LLC LAIC, No, Ext): _ (A/c, No):
8213 W. 20th Street EMAIL
Greeley, CO 80634 AooRES;3:_____
Michael J Schmitt CIC____ INSURERtS) AFFORDING, COVERAGE _ NAIC 8
INSURED Safety Rails of Colorado, Inc.
Custom Fence & Supply, Inc.;
Home Builders Services, Inc.;
Custom Leasing, Inc.
3031 Highway 119
Longmont, CO 80504
RER A: Twin City Fire Insurance Co
RER B : Depositors Ins Co
RER c : Argonaut Great Central
INSURER F :
0C%1IQIf%Ki III IMQCO.
19860
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
SUB
wvD
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
1,000,000
CLAIMS -MADE � OCCUR
Contractual Liab
X
34ECSOA8354
01/01/2018
01/01/2019
DAMAGETO R( a o ou D
300,000
X
MED EXP (Any oneperson)
$ 10,000
J
PERSONAL & ADV INJURY
1,000,000
GENT
X
—
_
AGGREGATE LIMIT APPLIES PER.
PRO- F LOC
POLICY JECT
OTHER
GENERAL AGGREGATE
2,000,000
PRODUCTS - COMP/OP AGG
2,000,000
Emp Ben.
11000,000
B
AUTOMOBILE LIABILITY
COMBI�1NdEentSINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
r X ANY AUTO
7574734203
01/01/2018
01/0112018
BODILY INJURY Per accident
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
SSyy E
AUTOS ONLY AUTOS ONL�
PROPERTY AMAGE
Per accl lent
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE __.
EXCESS LIAR
CLAIMS -MADE
AGGREGATE_,_____
DED RETENTION $
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE �J
OFFICER/MEMBER
end R/MEM E EXCLUDED? Y
N f A
WC928348638474
01/01/2018
01101/2019
X PEATUT� R
E.L. EACH ACCIDENT
500,000
E.L. DISEASE - EA EMPLOYEE
500,000
'
E.L. DISEASE - POLICY LIMIT
5-00,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is listed as additional insured as pertains to the
General Liability policy, per written contract.
i.w •Intel 1 wrinwl
V GRIIrIVMIL IIVLV LIB
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
ACORD 25 (2016/03) (0 1988-2015 ACUKD CUKPUKA I IUN. Ali rlgnts reservea.
The ACORD name and logo are registered marks of ACORD