HomeMy WebLinkAboutCHAMCO CONSTRUCTION INC - INSURANCE CERTIFICATE,a►c Ro n� CERTIFICATE OF LIABILITY INSURANCE oAT1/31l2024 YY'
7HI5 CERTIFiCATE IS ISSUEd AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlGATE HOLDER. THIS
CERTIFICATE DOES NOT AFFiRMATIVEtY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS C6R71FICATE OF INSURANCE DOES NOT CONS7fTU7E A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFiCATE HOLDER.
IMPORTANT: It the certlficate holder is an ADD(TIONAL INSURED, the policy{ies) must have ADDI710NAL INSURED provislons or be endorsed.
It SUBROGATION IS WAIVED, subJect to ihe terms and conditfons o� the policy, certaln pollcies may requlre an endorsement. A statement on
this certiflcate does not confer riQhts to the cerllficate holder In Ileu of such endorsement(sl.
PHOdUCER
CRS Insurance Brokerage
9780 S Meridian Blvd Suite 400
Englewood CO 80112
INSURED
Chamco Construction Inc
PO Box 621167
Littleton CO 80162
CHAMCON�Ot
COVERAGES
CERTIFICATE NUMBER:681377194
303-996-7833
INSUR__ ER,S�AFFOROIN6 Ci
Pinnacol Assurance
Gontinental Western Ins Co.
INSURER D :
REVISION NUM8ER:
343-757-7719
41190
10804
7HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURFD 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 8E 1SSUED OR MAY PERTAiN, 7HE INSURANCE AFFORDED BY 7HE POLICIES pESCflIBEO HEREIN f5 SUBJEGT TO AI.L THE TERMS.
EXCWSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY htAVE BEEN REDUCED BY PAlD CLAIMS.
�LTR 7YpE0FFN5URANCE � IAN D Wu OR POLICYNUMBER MM�'uD�IYYYY M/D�NY Y ���T�
B X COIAMERCIALGENERALLtABIUTY Y CPA3278762 6l1312023 &l1312424 l EqCHOCCUr�RENCE 51.000,000
DAMtiG@�T�A�N'��b " �
CLAtMS•MADE X OCCUR PREMISES Ea cewrrence E 500,000
�__T_.__-1—
MED E?(P (Any oneperson) S tiQ,000
PERSQNAL 8 AOV IIVJURY $1.Q90.000
GEN'L AGGAEGATE LIFAIT APPLIES PER: GENERAL AGGREGATE 52�000,000
�����Y X JECT LpC PRODUCTS-COMP,OPAGG 52.000.000
b
i OTMER. --.___
8 AUTOMOBILELIABlIITY Y CPA�278762 6�1312023 6l1312Q24 L��bdeD,SING6E LIMI7 S�,000,000 _
X� AhY AUTO BpDII.Y IWUftY (Per person- S
OWNED SCIiEDULED BpUILY INJURV ;Per accidenfi S �
AU70S ONLY AUTOS
X HIHtiU x NON OWNED pROPERTY DAM'AGE a
AUIUSONLY AU�OSONLY l,�aract�d��ntl._ _ ___ _.. W .____..____�.
� W S
g X UMBRELLAUAB iC p�CUR Y CPA3278762 6f1312023 6113l2024 EqCHOCCURRENCE 54000000
EXCESSUAB CIAiMS-MADE AGGREGATE ` 54,000000
OED X RETENTIONS 5
A WORNERSCOMPENSATION ( 4120936 21112024 211i2025 x STATUTE �RH
AND EMPLOYERS' LfABILITV Y � N
AfJYPROpFIETOFUPAR7NEWEXECUTIVE � N�A Ei.EACHACCIOENT 5540.00U
OFFICEfUMEMBERE%GLUDEO?
(Mendatory !n NH) E-L. DISEASE - EA EMPLOYEE S 500.000
II yes, describe undAr
DESCRiPTION OF OPERATIONS bebw E.L. OISFJISE � POL CY LIM T y 500 000
8 Lcased & Rented CPA3278762 &113/2023 6/t312024 Lime 150 000
Equ�pment Oed 1, 000
OESCRIFriON Of OPfRATtONS r LOCATIONS r VEHICLES (ACORD tOt, AddUlonal Remaiics 3cbedule, may be atteched il more spece {s requked)
Certificate Holder is included as addi6onal insured tor ongoing operations on the General Liabihty and included as additional insured on the Auto L�abdiiy with
respect to operations of the named �nsured far She cerhficate holder as required by written coniract
tCA
City of Fort Collins
281 North College Ave
Fort Coilins CO 80522
ACORD 25 (2016103)
5HOULD ANY OF THE A80YE DESCRIB�D POWCIES BE CANCELLED BEFORE
THE EXAlRATION DATE THERHOF, NOTICE WlLL BE DELIYERED IN
ACCOROANCE WITH TNE POLICY PROVISIONS.
AUTHORIZ£b REPRESENTAi1VE
/�i�i' /• —�
m 1988-2015 ACORD CORPpRATION. AI) rights reserved.
The ACORD name and lago are registered merks of ACORD
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