HomeMy WebLinkAboutCOLARELLI CONSTRUCTION, INC. - INSURANCE CERTIFICATEC� � DA7� �My�llp0lYYYY}
`� CERTIFlCATE �F LIABILITY INSURANCE ,i�o�zaz4
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER5 NO RIGHTS UPpN THE CER7IFICATE HOl.DER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY Ah4END, EXIEND OR ALTER THE COVERAGE AFFpRDED BY THE POL{CIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTiTUTE A CONTRACT BETWEEN Tl1E ISSUENG INSURER(S), AUTHORI2ED
REPRESENTATIYE OR PRQDUCER, AND THE GERTIFICATf HpLDER.
IMPORTAN7: If the certlllcate holder is an ADDITIONAL INSURED, the policy(fes) must have AdDkTIONAL INSURED provisions or be endorsed.
If SUBROGATfON ES WAIVED, aubJect to the terms and condltlons ot the policy, cerlain policles may requfre an endorsement. Q statement on
thks certificate does not confer rights to the certlficate holder in Ueu of such endorsement(s1.
PRODUCER
IMA, Inc. - Colorado Oivision
1705 17th Street, Suite 1 QO
Denver CO 80202
INSURED
Colarelh Construction, Inc.
111 S. Tejon, Suite 112
Plaza of the Rockies IVorth Tower
Colorado Springs CO 809d3
NANE""' !MA Denver Team
w+°NE .303•534-4567
aooR�ess: Construct�onCetts�imacorp.com
T INSURER(5 A} FFQRDIN6CQYEHACiE
{NSt1REHA: Tf8I15pOfI8t10f1 1�55Uf211C8 COfY1p8f1y
iksuREaa: The Continental Insura�ce Company
INStJRER C : �Pmnacol Assurance
INSURER D :
INSURER E :
NAIC 1i
20494
35289
A179a
COVERAGES CER7IFICATE NUMBER: 548277997 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEfJ tSSUED TO THE INSURED NAMED ABOVE FOR TFiE POLICY PEfll00
INOICATED. NOTWiTHSTANpIIJG ANY REQUIREMENT, TERM OR CONDfTION OF ANY CONTRACT OR OTWER DOCUMEfJT WITH RESPECT TO WHICN THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 7HE INSURANCE AfFOFDEQ BY THE POLICIES DE5CRIBEO HEREIN IS SUSJEC7 TO A�L THE TERMS,
EXCLUSIONS AND CONqiTIONS OF SUCH POLICIES. tiMI7S SHOWN MAY HAVE BEEN REDUGED BY PAID CLAIMS.
��Tp TYPE OF INSURANCE AbDL $U�R POLICV HFF POUCY EXP �
IW 0 POUCYNUMBER MM1pDlYVY MMlOD1YYYY � LIMITS
8 X CQMMERCIAL c3£NERAL LIABIUTY 6010523809 211/202A 211I2025 EACH OCCURRENCE E 1.000,000
CIAIMS�MADE X OCCUR PR M_SES Ha�occu ence�� SSD0.900 .
X PD Ded E5000 MED FXP An one per5on) a 15,000
PEASONAL b AOV INJURY E 1,006,600
C3EN'L AG(3REGATE LIMIT APPLiES NEf� G�NERAI. AGGREGATE s 2,OOO,aao
POLICY PR�� LOC PAOOUCTS � COMPiOP AGG S 2.000,400
JECT _ __�_,_.�
OTHEF S
A AUToIAOefLEUABtLTY 54995�3209 2l112Q24 2/1/2025 COMBINEp SlrfGtE l,IM1T S 1.00a.U00
_(Ea Acaden�)
X ANY AUTO gpDILY INJURY (Par person) S
OWNED SCHEDULED BODILY 4NJURY (Pvr acade�ll b
AUTO50NLY AU7pS
X HIRED X NONOWNED PqOPERTYpAMAGE y
AUTOS aVLY AIlTOS ONLY �Per ecciden
8
s X UNBR£�uaLIA6 X p�CUR 5099533198 2/1l2024 2/112025 E,0.CHOCCURRENCE SS.fl00,0U0
� EXCESSUAB CLAIMS•MAOE AGGREGATE SS.00Q,OOQ
D[� X RETENTION S � b
� WQRKERSCOMPENSATION 4065815 10Jfl2023 10l1C202A X
AND EMPLOYERS' LlABILITY y � N TA7 TE EA
ANVPAOPRIE70FL'PARTNEWEXECUTIVE � N�A E.L.EACHACCI�EN7 �SOO,OOO
OFFICERrMEMBEREXCLU�ED1
(Mandatory In NH) E.L. DISEASB - EA EMPLOYEE � 500,06�
U yg5. describe wxlar "—""'
DESCRIPTION OF OPEHATtONS Delow E.L. DISFIISE - POLICY LIM17 a SOO,OQO
A Ac,tomo6de Physical Demage 50$9513203 2I112024 2/1R025 Deduct�Ole�.
Comprehanswe aS,008
co���g�«, a�.aoo
DESCRIPTION OF OPHRATION9 ! LOCATIOtlS � VEHICLE9 (ACORD 101, Addltlonel Ranarks 9cbedult, may be ellaefud II more spaco It �equkad)
ProfessionaUPollution Liability Coverage Policy #PCAOB50240890224
ENective Dates: 021Qi12024-b2l0112025 Insurer: Berkley Assurance Company
$2,000,000 Each Claim; $2,00O,OOQ Aggregate; $15,000 SIR
Cleims Made; Retro Date: 64/01/03
See Attached..,
TE
SHQULD ANY OF THE ABOYE DESCRlBEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVER£0 IN
Cltj/ Of F01'E COIIInS ACGORDANCE W17H1HE POLICY PROVISION6.
216 N College Ave P.O. Box 580
Fort Collins CO 80526 AUTHORIZEbHEPAESENTATIYE
�SA ���Jw�-
� 1988-2015 ACORD CORPORATION. All rfghts reserved.
ACORD 25 (2016/03) The ACOfiO name and logo are registered marks of ACORD
2io 2 • a
AGENCY CUSTOMER ID: COLACOhI
LOC #,
ACORl7�
�r'
AOENCY
IMA, Inc. - Colorado Drvision
POLICY NUMBEA
CARRIER
ADDITIONAL REMARKS SCHEDULE
NAIC CODE
NAM1tED INSUREQ
Colarelll Construcfion, Inc
111 S Te�on Suite 112
Plaza of the Rocktes North Tower
Colorado 5pnngs CO 80963
EFFECTIVE DATE;
THIS ARDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: z� FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
Builders Risk Goverage Pol+cy #IH4J30026501
Eitective Dates: 02/01/2024-02lOt/2025 Insurer: The Hanover Insurence Company
$546,000 Temporary LocaUon/Transil Limrt $5.000 DeducUbfe; SPC Form
$7,500,006 Any One Locat�on Joisted Masonry Limit
$30,000,000 Any One Location Non-Combustible Limit
$40,000,000 Any One Locat�on Masonry Non-Combustible L mit
$7.500,000 Any One Location Freme Limit
Contractors �quipment Coverage; Policy #lH4J30D26501
EHective bates: 02/01/2024�02l0112�25 lnsurer The Hanover InsuranCe Company
g737,512 Scheduled �imit; $2,500 Deductible
Leased and Rented Equ�pment Coverage Policy #IM4J30026501
Eftective Dates: 02/01/2024-02l0112fl25 Insurer The !-lanover Insurance Company
$500,0�0 �imit, $2,500 Deductible
No Boom/Overioad Exclusion
Page � ot ` � _
Certificate Holder(s) fs included as Additional insured on the Genera Liabiliry inciuding Ongoing and Completed Oparattons, Automobile Pollution and Umbrella
Liability Policies it required by written contrac! or agreement and with respect to work performed by nsured sub�ect to the policy terms and conddions. Tlus
Insurance is Primary & Non-Contnbutory on the General L�abiliry, Umbreila Liabi ity and Poliution Liab I�ty policies sup�ect to the policy terms and cond tions A
Waiver af Subrogation is provided in favor of Certificate Holdar{sj on ihe General Liabibty. Automobile Liability, Umbrella tiabihty Pal{ution �.abillry and Workers
Compensation policies if required by written conVact or agreement and with respect to work periormed by Insured, sub�ect to the policy terms end cand�bons
The Umbrella Liability policy is excess oi the General Liability, Automobile Liabiliry, and Emp oyers Liabiliry pohcies.
ACORD 101 (2008101) m 2008 AGORD CORPQRATiON. All rights reserved.
The ACORD neme and logo are registered marks of ACORD
zio: a � or