Loading...
HomeMy WebLinkAbout102606 4 RIVERS EQUIPMENT LLC - INSURANCE CERTIFICATE (7),acoRD' CERTIFICATE OF LIABILITY INSURANCE DATE2018 /YWY} os/1s/01s 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 polioy((les) 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: Sentry Customer Service Randall Robbins PHONE FAX A/C No Ex : 800-473-6879 A/C No: 800-514-7191 EMAIL ADDRESS: businessproducts directr1sentr .com INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Sentry Select Insurance Company 21180 INSURED INSURER B : 4 Rivers Equipment LLC DBA 4 Rivers Equipment 92411th St INSURER C : INSURER D : Greeley, CO 80631-4043 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1248439 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 TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF M/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR 2472581003 09/01/2018 09/01/2019 EACH OCCURRENCE $ 500,000 DAMAGETO RENTED PREMISES a occurrence' $ 100,000 MED EXP (Any one person) $ 5,000 GEN'L PERSONAL & ADV INJURY $ 500,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $1,500,000 X PRODUCTS - COMP/OP AGG $ 1,500,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 2472581004 09/01/2018 09/01/2019 COMBINED SINGLE LIMIT Ea accid $ 500,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident? $ A X UMBRELLA LIAB EXCESS LIAR H OCCUR CLAIMS -MADE 2472581005 09/01/2018 09/01/2019 EACH OCCURRENCE $ 20,000,000 X AGGREGATE $ 60,000,000 DED I I RETENTION $ PRODUCTS - COMP/OP AGG $ 60,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE F-i OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 Laporte Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO 60521 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPPRRESENTAnVE ACORD 25 (2016/03) 2472581 Sentry Select Insurance Company 1 00001 0000012573 16227 0 N Page 1 of 2 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 08/15/2018 2C1A3FF9-5566-474F-84C2-30FOOCE046CE 0027020044346326973580521271900