Loading...
HomeMy WebLinkAboutCOLOSCAPES CONCRETE INC - INSURANCE CERTIFICATE 2023-2024/�►�� �� CERTIFICATE OF LIABILITY INSURANCE � s�i�� 023 � THlS CERTIFICATE IS 15SUE� AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 'CH� CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIYELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE CdYERAGE AFFORDED BY TH� POLICI�S I B�LQW. TH1S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 15SUING INSURER{S�, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND 7H� C�RTIFICA7E HOLDER. IMPORTANT: If the certificate holder Is an AaUITIONAL INSURED, the policy(ies] must be endorsed. li 5UBROGATION 15 WAIVED, subject to the terms and conditfons of the poEicy, certain policies may require an endorsement. A statement on this certiffcate does not confer rights to the CertifiCate hOlder in liau of such endorsement(s�. PROOUCER NAME� Kjrll@ CdI6y� CISR, CIC Flood and Peterson ar�NN E�: (970►2fi6-7148 � NQ: (97'J�j06-6H�5 E AAAIL P.O. Box 578 ee KCarey@floodpeterson.com Greeley CO 84632 iNsuaeo Coloscapes Concrete, Inc. 3553 Clydesdale, Suite 17.0 INSURER�SI AFFORpING COVEqAGE :Arch Insarance Companv Casual NAIG �F 11iS0 Co America 25674 an 36940 24112 I LOVBIHSId C.�� 80538 I INSl1RER F: I I COVERAGES CERTIFICATE NUMBER:GL,Ca►V,xS,wC,POL/$ROF, REVISEON NUMSER: � THIS IS TO CERTIFY SHAT THE POLICIES OF INSURANCE �ISTED BELOW HAVF BEEN ISSUED TO THE 1NSURED NAMEDA80VE FOR THE POUCY PERIOD INDICATEO. NOTWfTHSTANDING ANY REQUIREMENT, TERM pR GON�ITIQN OF ANY GONTRACT OR OTH�R pOCUMEM7 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSI�RANCF AFFQR�ED 8Y THE PO�ICIES O�SCR16�p HEREIN IS SUBJECT TO ALL THE TERMS, EXCWSIONS ANfl CONDfTIONS OF SUCH POLICIE$ LIMITS SHpWN MAY HAVE BEEN REDUCED BY PAI D CLAIMS ILTR NPE OF INSURANCE ADDL SUBR ppLICY NUMBER MMf�WYYYY MfOUIYYYY 41M7TS X COMMERCIAL GENERAL LIAB]L17Y EACN OCCURRENCE S 1, 000 , 000 A CLAIMS-MApE �X OCCUR PREMISES Ea ptturtente S 560 , 000 ZAGL892S7901 5/:/2023 6/1/2024 ME�EXP(AnyOrt9parson] S 10�000 PERSONAL & A�V IMJURV S 1, 000 , 000 GEN'LAGGREGATELIMiTAPPLiESPER. GENERALAGGREGATE S 2,000,000 POLICY � PRa � LOC PRODUCTS-COMPlQPAGG 5 2,000,000 OTHER- S AYITOMOBILE LIABILIiV OMBIN£D SlN LE LIMIT 5 1, 000 , 000 Ea acc�danl A X AiJYAl1T0 9OOILY INJURY (Per person� S ALL OWNE� 5CHEDULED Zq�,q79294101 6/_/2023 6/I/2024 80DILY 1NJURY (Per acutlent) S AUTOS aUTOS N6N-OWNEO PROPERTY DAMAGE HIREOAU70S AU70S Per accideM 5 unmswea moronst oanevied s�ng�e 5 1, 804 , O80 X UMBAELLALIAB X pCCUR F�GH OGCURRENCE 5 5 DOD�OOO � EXCESS LUIB CLAIMSMAUE AGGREGATE 5 5, 000 , 000 :F{7 RETENTION $ CUP-541163513-23-NF 3{1{7{�73 fififi��C 5 WORKERS COMPENSATION X PER OTH� ANU EMP40YERS' 41ABILITY Y! N TAT TE ER ANVPROPRIETORIPARTNERIE%ECU7IVE E.L EACHACCIOENT S 1,000,000 OFFICERIMEMBER EXCLUDE�? � N IA A (Mandatory in NH) Znuci 9999801 6!1 f247! 5�t fzoz4 E.L DiSEASE - EA EMPLOYEE 5 1, 000 , 000 lyes, descnbe under �ESCRIPTION OF OPERA710NS below C.L- DISEASE POLICY LIM T 5 1 000 , 000 C Pollutlon/F7CoE. Lidhility eEc2000383 3/1/2023 6/1/2a2a SL'.00O.00Oi52.006.000 D Leased/Rented Equipment TRAB50054A 6/1/2023 6/1/2024 870�ODOLimN51,000Oeduqiple bE3CHIPTION OF OPERA710M51 LOCAT10N5! VEHICLES [ACORD 107, Additional Remarks Scheduk mey he alfachad if maie spacp i� raqaindj This aertificate is issued as a matter of INTFpRL+�1T20N ONLY and coveragas reflected are as of ehe date of issuance. Please note that you vrill not be notified of any alterations of coverage unless you are specifically listed as the Certificate Holder. CERTiFICATE HOLDER City o£ Eort Collins Development Review Center 281 N. College Avenue Fort Collins, CO 80524 ACORD 25 (2014101) �N$��5 y70'48}) CANCEl.U1TION SHOULD ANY OF THE ABpVE OESCRIBED POLICIE$ BE CANCELLEp BEFORE THE EXPIRATION DATE THEREOF, NQTICE WILL BE DELIVERED IN ACCORdANCE WI7H THE POLICY PROV1510N5 AU7HORIZEG REPRESENTA7IVE YK Carey, CISR, CIC/KC �'� ! ^O 1988-2474 ACORD CORPORATIQN. All The ACORD name and logo are registerBd marks of ACORD