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HomeMy WebLinkAbout344844 DUNRITE EXCAVATION INC - INSURANCE CERTIFICATE (3)ACoR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) 5/22/2017 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 endorsements). PRODUCER CONTACT Deanna Zahn NAME: Moody Insurance Agency, Inc. PHONE (303) 824-6600 FAX, No: (303)370-0118 8055 East Tufts Avenue ADDRESS,deanna.zahn@moodyins.com Suite 1000 INSURERS AFFORDING COVERAGE NAIC III Denver CO 80237 INSURERA:Cincinnati Insurance Company 10677 INSURED INSURER B .Westfield Group 24112 Dunrite Excavation, Inc., DBA: Dunrite X, Inc. INSURERC:Pinnacol Assurance 41190 21506 Wcr 1 INSURERD:Travelers Prop Cas Comp of America 25674 l Berthoud CO 80513 I INSURER F : CnVFRA(:FC CFRTIFICATF NIIMRFIRI7/18 Master 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 LTR OF INSURANCE ADDLTYPE J= SUBR WVID POLICY NUMBER MMLICDY EFF IPOLICYMIDDI EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE I X I OCCUR DAMAGE To REE PREMISES tE.occur ence $ 500,000 MED EXP (Any one person) $ 10,000 EPP0194087 6/13/2017 6/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 2 r 000 , 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS TRA5638187 6/13/2017 6/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS X UMBRELLA LIAB X OCCUR EPP0194087 6/13/2017 6/1/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1 000 000 A EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ ZUP15S9137A17NF WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFiCER/C (MandatoryEMBER inEXCLUDED? ( ry " ) N/A 4012848 6/1/2017 6/1/2018 OTH- X STATUTE ER_,_ _ 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 D Excess Liability:lst Layer ZUP15S9137A17NF 6/13/2017 6/1/2018 Each Occurence 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) rGI?TIFIrATF wni r1FR rANrFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 LaPorte Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE Deanna Zahn/SANPRO ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)