HomeMy WebLinkAboutRMS CONCRETE INC - INSURANCE CERTIFICATE (4)RMSCONC-01 IRYNAT
,d►coRo CERTIFICATE OF LIABILITY INSURANCE D07/3ATEIM0//2 Y018
8
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 NAME CT Iryna Trauger, CISR, CIC
Neil-Garing Insurance an affiliate of Mountain West Insurance & Financial PHONE FAX
Services, LLC (A/C, No, Ext): (A/C, No):
PO Box 1576 nntEs.5: itr'auger@neil-garing.com
Glenwood Springs, CO 81602 ausuwcrsrs% eccnwrvRln rnvcwer.F I r■
INSURED
Cincinnati Insurance
RMS Concrete Inc INs�tamlral msuranve %.vrnpany
PO Box 670 INSURER D :
Glenwood Springs, CO 81602
INSURER E ;
F:
rew��c /`COTICIf`ArC RUI1111I7C®• 1 RFVICIr1N NI IMRFR-
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THIS IS TOCERTIFYTHAT 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LT.MM/DDNYYY D
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
X
EPP0497622
07/26/2018
07/26/2019
DAMAGE TO RENTED
PREMI ES Ea ccurrenoe
300,000
$
MED EXP (Any oneperson)
$ 5,000
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 41 jea LOC
OTHER:
A
AUTOMOBILE LIABILITY
Ea accident SINGLE LIMIT
$ 1,000,000
BODILY INJURY Per
X ANY AUTO
EPP0497622
0712W2018
07/26/2019
$
BODILY INJURY Per accident
ULED
OWNEDSCHEDULED
AUTOS AUTOS
X HIRED X NON OWNED
AUTOS ONLY AUTOS ONLY
$.
$
PeO �errt AMAGE
A UMBRELLA LIAB
X OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 6,000,000
--
X EXCESS LIAB
I CLAIMS -MADE
EPP0497622
07/26/2018
07/26/2019
TIDED X RETENTION $ �
$
B 'WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY OFFICER/MEMBOR EXCLUDED? ECUTIVE
In NH)�,N
�A
4026391
01/01/2018
01/01/2019
X PTARTUTE �( OTH-
E.L. EACH ACCIDENT
1,000,000
$(Mandatory
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
-POLICY LIMIT
1,000,000
$
B yes, describe under
DESCRIPTION OF OPERATIONS belowDISEASE
C
!,Pollution
FEIECC2204302 10/02/2017
10/02/2018
lPer Claim
1,000,000
A
Equipment Floater
EPP0497622 07/26/2018
07/26/2019
Leased/Rented Equipm
300,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Contractor's License Holder is included as Additional Insured under General Liability only and only in respect to ongoing operations performed by
insured on behalf of holder as required by written contract.
rAKW/ M I ATIrlKl
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Fort Collins
ty
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
1D� Ir a,t�
ACORD 25 (2016103) U 19tib-2U15 AGUKU UUKNUKA I IUIN. AU rlgnts reservea.
The ACORD name and logo are registered marks of ACORD