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Home My WebLink AboutINTERSTATE RESTORATION, LLC - INSURANCE CERTIFICATEA�`o " CERTIFICATE OF LIABILITY INSURANCE Paq� 1 of 2 DATE (Mhl'DD�Y YYY) 12/27/2023 THIS CERTIFICATE 19 4SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RICiHTS UPON THE GERTiFICA7E HOLDER. 7H1S CERTIFICATE DOES NOT AFFIFtMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE C�VERAGE AFFORDED BY THE POLICIES BELOW. THIS CER7IFICA7E OF INSURANCE DOES NOT CON$TITUTE Q CONTRACT SEiWEEN iHE 13SUING INSURER(S), AUTHORIZED R�PRESENTATIVE OR PR4DUCER, AND THE CERTIFICATE HOLDER. IMPaRTANT: It the certificate holder Is an ADDITIONAL tNSURED, the pollcy(les) must have ADDIi101JAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the ferms and conc3itions of the policy, certaln poticies may requlre an endorsement. A statement on this certificate does not confer ri his to the certfficate hotder In Ileu ol such endorsement s. PRODUCER ON7ACTy�illia Tor�ra i�ataon C�rtificato Cantor NAME� Willia ToNara Natson Southaeit, Ine, c/o 26 Ceotury Blvd PH�N� . 1-877-945-7378 F� 1-668-467-2378 NC No : P.O. Box 305191 _1�DDRESS: certif�cataeQwillie.com u��l�vlll. TN 779tnR101 naa IPi3URED Snter�tata Rostoration, Y.LC 6200 e. syracues Msy 8ulta 230 Gra�n.00d Villag�, CO BQ111 lN5UAER[5) AFF6FDIN(3 COVERA6E NAIC N INSUFlEA A: Weetehentar Surplua L1nea Insurance Co�an 30172 ��REq B: Arch Ineuranca Company 12130 lNSURHH C: �13ed World �seuranoe Compnny US Ync 19489 Ik3UFEH D: �'�h IndsmniEy Insuranae Co�any 3Q830 COVERAGES CERTIFICATE NUMBER: N32isz6ss REYI510N NUMBER: TMIS IS TO CERTIFY 7HAT THE POLICIES O� INSURANCE LISTED BEtOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FaR TNE POLICY PERIOD INDICATED. NOTWITH3TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wf7H RESPECT TO WH1CH THIS CER7IFICA7E MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HERE{N IS SUBJECT TO ALL THE TERMS, EXCI.USiONS AND CONQfTI(}NS UF SUCH POLIGfES LIMiTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ��Sp 7YPE OF INSURANCE ADOL SUBk� POUCY EFF POLICY EkP V�� LTR POL�CYNUMBER MSUDSNYYY MM�Da;YYYY }� COMMEHCIAL GENERAL I.IABIUTY EACH OCCURRENCE $ 1, 000, 000 CLAIMS MADB i� � OCCUR PREMISES {Ea accurrence $ 500. OQ8 11 �( 3hared 6en Aqq r/ CDL i VL MEO EXP IAn Ontt person) $ 25. 000 Y Y C24086416015 12/31/20Z3 12/31/1021 pEflSONAL& A6VItJdURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLI�S PER GENEI�A� AGGREGATE S �, 000, 000 X POLICY X j� p X LOC PRODUCTS • COMP:OP AGG $ Z, 000. 000 OTHER: ffu� Psoject Gen Agq g 5,000,000 AUTOMOBILEL1ABWri COMBINEDSINGLEUMIT $ g,000,000 �a_aCcldenll �( ANY AUTO BOUILY INJURY (Per persa�) S 6 OWNED SCHEDULED Y Y 31CA8898960� 1Z/31/20Z3 12/31/202d BOOILYINJURYlPe�accidenp S AUTOS ONLY AUTUS X F41£tE0 X NON•OWNEO PROPERTYDAMAGE � AVTOS ONLY AUTOS ONIV �?er accidunl} Liab111Cy D�ductibl• $ 250,000 UMBRELLALIAB X OCCUR � I EACH OCCURRENCE g 10,000,000 C I )( EXCESS LIAB C�,41MS-MADE E 031Z1766 112/31/2023 12/31/202i AGGFiEGATE g 10,000,000 � 4 DEO RETENTIONS G f $ WORKERBCOMPENSATION X � C,�jq7yT� ER AND EAAPLOYEfl6' LSA81LlTY D Ipf,�YPROPAIETOWPARTNBRIEXECUTIYE Y! N E.l EACN ACCIDENT g 1, 000, 000 �OFFICE{LMEMBEREXCLUDEa? No N!A Y 3dNCi8988701 12/31/2023 12/31J2Q21 1,000,000 (Msndetory In NH) E.L DISEASc EA EMPLOYEE $ �II yB8. dC9CfIbC Ur1dBf DESCRIPTION OF OPERATIONS be:ow t E L DISEASE POLICY LIMIT g 1. 000, 000 1► lProt�ssione2 L1ab Cluims-Ned� Y Y fi2�0861�6015 12J31/2023 12/3iJY02d 9�a Attaeh�d ;Contractor'e Pollution Liebility � Addendum 3rdPerty Premiee� Pollution Lisb � DESCRIPTtOH OF OPERATIONS! LOCATiONS � VENICLES (ACORD t01, Addilional Remerks Schedule, may be ettached if more apace is requlrQdJ Locations: All 1pcations under Cha o.mership of SiratOnait• are coverod wdar all polici�s CERTlFICATE i10LDER 5HOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED B�FQRE THE EXPIRATION DATE THEREOF, NOTiCE WILL SE pELIVERED IN ACCORUANCE WRN tHE POUCY PROVISIONS. City o! Fori Collina 281 N Co21�q� Ave, Tort Collins, CO 80824 ACQRD 25 (201fi/03} AUTHORIZEU R£PH ESEN7ATIV E � � � 1988•2016 ACQRD CORPORAYION. All rfghts reserved. The ACORD name and logo are registered marks ot ACORO sR xo: 25188d73 a�rcH: 3259845 73688 1 ' Oi AGENCY CUSTOMER ID: LOC #: A� � ADDITIONAL REMARKS SCHEDULE P89g Z a� � AGENCY NAMEDINSURED 9fillia To�r�rr Natson Southeast, Inc. Ir�teretste Restoretion, i.7.c 6200 8. syracu�r Way POLtCY Nl1MBEq 9uiEe 23U Se• Paq� 1 6raomrood Villaqa, CO 8Q111 CARRtER Bea PaqQ 1 NA1C COOE 3on Faga 1�FFECTIVE DATE: Soe Daga 1 THIS ADDITIONAI. REMAFiKS FpRM !S A SCHEDULE 70 ACpRD FORM, FORM NUMBER: 25 F�RM TI7tE: Cortiticato of Liability znsuranco Named Inaurede: E'irst Onaite Property Reatoration is the go-to-market name ot the Horth Amarican platfarm of reatorAtion buain�eaea, which inciude tha followinq: Interatate Reetocation, LLC Interetate Raetoration Aaxaii, LLC FiratOn3ite Reetoration Limited Super Rastoration Service Co., LLC Rolyn, LLC Perfection Property Reatoration, Inc. Trilink Reetoration 3orvicee, LLC Maxons Restoratione, Inc Moore Raetoration, Inc- Pro Conetruction, LLC Pro Contents, LLC. Ineuranco Roatoration Specia�iats, Inc. Keuei Raetoration F Cleaning, Inc. Balea Reetorntion, inc. Maater bleintenanae, Inc. Emerqency 61re, Water Reetoratipn, LLC Emerqency Reetoration, inc. Ca9e Reetoration Co. Dry Patrol LLC Additional Ineured(e) liated below la included ae Additional Ineared ae reBpecta General Liability, nnd Automobile Liability (Umbrella/Excesa roliowa lorm) as required by written contract with the Naroad Irteured. City of Fort Colline Genera2 Liability ahell be Primary asid Non-Contributary Mith eny other inaurance in force for or which may be purchaead by Additional Zrfsurod. Weiver of subrogation appliea in favor o! Additionai Inaured ars reBpeete General Liability, Automobile Liability and Worka=e' Componsatipn (Vmhrplls/$xcees follo�+a form) ae raquirqd by aritten contract rith Eho Ns�swd Insurod and se pormittod by 2�rr. ACORD 101 (2008I01) � 2008 ACORQ CORPORATION. All rights reserved. The ACORO name and logo are registered marks of ACORD 9R ID:251B8473 BATCA:3259845 CERT:W32157653 i 36&3: 2 of . �� AOENCY >oa Pags 1 Poucr MUMeea 3ea Paga 2 CARRIER >ee Paqe 1 AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE NAMEDINSURED �ee Paga 1 MAIC GODE �ee Page 1 EFFECTIVE DAT£: Sqe Paqa 1 THIS ADDfT10NAL REMARKS FORM IS A SCHEdULE TO ACORD FORM, FORM NUMBER: FORM TITLE: Page of Coveraqe Policy Term Policv Numbar Carrier 6 W+IC N Limita Additional Remarka Fo11ow Form over • Automobile Liability • General Excess Allied World Aaaurance $1Q,000,008 Each Liabillty L�ab111ty - laC i2/31/2023- 0312-4766 Company US Ina occurrence • Contractor'e Excess 12J31/2024 NAIC N 19489 $10,0U0,00Q Pollcy Pollution Aggregate LiabiliCy • Proleesional Liab2l�ty • £mployera Liability $5,000,000 Each Exaeaa over Allied Excasa Nautilua Ins�ranca World Aeaurance 12/31/2023- Occurreroce Liahility - 2nd �2�31/2024 FFX203559512 Company $g�0U0,000 Policy Gpmpany U9 Inc Exaeaa NAIC M 17370 Agqreqnte pvlicy �t�312-4766 Contractor's Poliution $1,0�0,000 £ach Liability Occurrenca 3rd Party Premises $1,0�0,000 Each Pollution WestaheaCer Surplus Occurrenae I.iahility 12/31/2023- G24066446015 Linea Ineurance Profnssional 12/31/2o2Q Comgany Claims Mada policy Liability NAIC M 10172 $1,OOd,000 Each Claim Coverage appliea Bailmont $1,000,000 General to property damage Aqgr'eqaCe to cuatomer' s Coverage $5,000 Deductible property only $5,000,000 Ertcployee 12/31/2023- Federal Inaurance Theft CrzmejFidelity 12/31/2024 8262-2621 Compnny 35,�00,000 Client NAIC N 20281 Property $50,000 Retention ACORD 101 (20Q$/Ot) � 2008 ACQRD C4RPORATlON. Atl rfghts reseroed. The ACORD name and logo are registered marks ofACQRO 13688: 3 ' of AGENCY CUSTOMER ID: LOC #: i�� '`�'�!�� ADDITIONAL REMARKS SCHEDULE Pa�e at __ AGENCY NAMEDINSURE� iee P3ge 1 Ssa Page 1 POLICY NUMBER � iee Paqa i � i CARRIER NAIC CODE 1ae Page i Sea Page 1 EFFECTIVE OATE: See Page 1 ADDITIONAL REMARKS TiiIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORO FORM, FORM NUM9ER: FORM TITLE: CoveraQe Policv Term Policv Number Carrier C< NAIC ii Limi.ts Additional Remarks • Causes of losa: A11 Perils • Valuation: $10,000,000 Maximum �ePlacement Cost Limit {5 Years) $52,144,985 Scheduled . Coinsurance: 809 $500,000 Vnacheduled . Flood: Excluded Leaaed, Rentad or ln zone A, AE, D ConCractor 9 Borrawed Equipment or V and on any Equipment $250,000 Unscheduled 191and(s) Tooln and Contractor'a . policy does not Equipment include Ovarload, $1,000 peductible �eft and except $25,000 for garthquake Flood axclusions $5,000,000 Covered • Valuation: Proparty Replacement Cost �2/31/2023- XL Spec�alty Insurance g1,00D,000 Transit • Coinaurance: 06 12/31/2024 �00090266MA23A Company $2,500,000 Flood Per • Flaod coveraqe NAIC N 37985 Occurrence provided in FEMA $2,500,000 Flood Zones C/Unahaded X Annual Agqregate Only $2,5Q0,000 Earthquaka • Earthquake and Volcanic Eruption coverage excluded Per Occurrence In Callfornia and Builder's Risk $2,Sd0,Q00 £arthquaka Hawaii and and Volcanic Eruption Installation Annual Aqgregate Floater Deductiblea: $5,000 Covered Property 3�6 Named Storm / $50,Op0 minimum $25,000 Flood - Per Occurrence $25,000 £arthquaka and Volcanic Eruption - Per Occurrence ACORD 101 {2008l01) �2008 ACORO CORPORATiON, Ap rights ►eserved. The ACORD name and logo are registered marks of ACORD 13686. 3 ot ,4coRa� �' AGENCY CUSTOMER i0: LOC #: ADDITIONAL REMARKS SCHEDULE Page of A6ENCY kAMEDIN9URE0 Sea Page 1 See Page ] POUCY NUMBER 9ee Paqe 1 CARRIER NAIC COUE See P�ge 1 Sae Pnge 1 EPFECTIVE DATE: $e8 Pd[JQ 1 ADDITIONAL REMA THIS AUDITIONAL REMARKS FORM 15 A SCHEDULE TO ACORD FbRM, FORM NUMBER: FORM TI7LE: Coveraae Policv Term Policv Number Carrier 6 NAIC N Limits Additional Remarks 3tatutozy Coveraqa Statas Coverad: AL, AR, AZ. CA, Co, CT, DC, DE, $1,000,000 Hodily G:1, HI, IA, ID, InjUry by Accidant - IL, EN, K3, KY, Workera £ach Accxden� i.F+. MA� t�D. MI, Cocs�enaation - 12/31/2023- Arch Indemnity $1,000,000 Each �,�, MS, MT, NC, 34WCIB988701 insuranca Company E�loyae Bodily Injury NE, NH, NJ, Bmployere 12/31/2024 NAIC k 30630 by Diaeaae �1, NV, NY, OK, Liability $1,OOO,D00 Policy OR, FA, SC, TN, Lim1C $odily Injury by �. UT, VA, WI, WV Diaeaae stop Gap Coverage: ND, OH, WA, WY $1,000,000 Badily Statutory Coverage Zn�uzy by Accldent - Workers Esch AccidenC StaCes Covered: FL Compeneation - 12/31/2Q23 Arah Znaurance Company g1,000,000 Each Empioyors 12/31/2�2A 31WCI8988601 NATC 11 11150 �loyae Bodily In�ury Liability by Diaeaae $1,000,000 Pol�ay Limit Hodily Injury by Disease ACORD 101 (2008101) 020D8 ACORD CORPORATION. All rtghts reserved. The ACORD name and logo are registered marks otACOftD 1 J688: 4 • ol