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Home My WebLink AboutHigh Country Paving, Inc for 2014 Street ImprovementsA�ORO" CERTIFICATE OF LIABILITY INSURANCEOATE(MMIDDIYYYY) COVE 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, 06/19/2014 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 endorsement(s). PRODUCER 00002-001 MVIS, LLC 210 S Winchester Suite 430 Miles City, MT 59301 CONTACT AME' PHONE FAX AIc No EX1: (406)234-3696 AIC No: (406)234-3695 EMAIL . jariell@mvisagency.com RES INSURERS AFFORDING COVERAGE NAIC N LIMITS INSURERA: Victory Insurance Company, Inc. INSURED INSURER B: INSURERC: High Country Paving, Inc. INSURER D : 5200 Thorpe Road Belgrade, MT 59714 INSURER E: INSURER F: RAGES CERTIFICATE NUMBER: onmm�v Xn raaovo. 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. INSft TYPE OF INSURANCE ADDL JURWVD(MMIDENYMI SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ COMMERCIAL COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED$ P E o¢u CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ POLICY PEC- F7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ am e BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED BODILY INJURY (Par accident) S AUTOS AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE AUTOS Perawl ent $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC) RETENTION $ $ KERSEMPLCOMPENSATION MPEN Ory WC Z5 ILA OTH- TH AND SAB' X TORY LIMITS FR ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? �NjN/A WC100-0000477-2013A 9/24/2013 9124)2014 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more space Is required) General Operations of the Insured. Bozeman City Clerk P.O. Box 1230 121 North Rouse Ave City Hall, Suite 102 Bozeman, MT 59771 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVES n ^ ......... i ue ea umu name aim logo are registered marks OT AUUKU CERTIFICATE HOLDER COPY