HomeMy WebLinkAboutClark Enterprises Construction Company - Insurance Certificate 2024oiQo'CERTIFICATE OF LIABILITY INSURANCE L/9/202s
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 AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: lf the certificate holder is an ADOITIONAL INSURED, the policy(ies) must be endorsed. lf SUAROGATION lS WAIVEO, subiect to
the terms and conditions ot the policy, certain policies may require an endorsement. A stalem€nt on this certificate does hot conf€r rights to the
certificate holder in lieu of such endorse s
Renee llcReynolds
COVERAGES CERTIFICATE NUMBER: 2s-26 REVISION NUMBER:
l9't ol 6'7 9-'t 344
AFFOROING COVERAGE
PRODUCER
E ing-Leavitt Insulance Agency. Itrc.
5589 Mcwhinney BIvd.
co 80538Loveland TNSURERA: Employers Mutual- CasuaLty Company 2L4L5
TNSURER B: Pinnacol, Assurance 41190
TNSURER c: Zulich Insulance Group R5045?
INSURER E
INSUREO
Clalk Enterprises Constructsion Corq)eny
80 Factoty Rd.
Ea ton co 80615
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INDICATED NOTWTHSTANOING ANY REOUIREi'ENT IERI\,,t OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W]TH RESPECT TO WlICH THIS
CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN,IHE INSURANCE AFFOROED AYTHE POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. Lll!4lTS SHO!\N MAY HAVE BEEN REOUCED BY PAID CLAIMS
EACA OCCURRENCE 1,000,0005
DAMAGE TO RENTED
PREMISES (Ea o@ren@)500,0005
MEO EXP (Any one person)5 10 .000
PERSONAL & ADV INJURY 1, ooo , ooos
GENERALAGGREGATE 2, 000,0005
PROOUCIS , COM P/OP AGG 2,000,000S
A
COMM ERC IAL 6ENERAL TIABILITY
x
Blkt Actctl Insureds
BIkt fiaive! Sub.ogation
GEN LAGGREGATE LIM TAPPLIES PER
CLA MS-MADE
LOCJECT
x 1,/t3/2025 7/13/2026
s
COMBINED SINGLE LIMII 1, ooo, o0os
BODILY INJURY (Pg PETSON)s
BOD LY NJURY (Pe. acqdenl)s
s
A
HIREOAUTOS
SCHEDULEO
AUTOS
NON,OV\NEO
AUTOS
x
x x
AIJTOMOBILE LIABILIIY
5X94559 26 r/13/2025 !/73/2026
a
EACB OCCL]RRENCE 2, 000,0005
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE 2, 000,000sA
DE]5X93559-2 6 t/L3/2A25 1/t3/2026 5
OIH
ER
E L EACH ACCIOENT 500, 0005
EL DISEASF EAEMPIOYFE 500 ,000sB
YVORKERS COiIPENSATION
AI{D EIIPIOYERS' UABILITY
ANY PROPRiETOR/PARTNER/EXECUTIVE
OFFICERATEMBER EXCLUOEO'
DESCRIPT ON OF OPERATIONS be@
lncl Blkt X.iv6. Sulloqation
l0/7/2024 70/ t/202a
E L DISEASE POL]CY LIM T 500, 0005
c Bldls Ri.sk - 51000 ded
L€ased/R6nted Equip 5x9655r-26
r/73/2411 t3 000.000.ny on. siEduE
450 000
'mul10o0
.,.dudble
OESCRIPTION OF OPERATIONS / LOCAIONS / VEHIC LES (ACORD 101. Additio.al Rem.rt! Sch.dul€, may b. attach.d il mor. 3pac. i. r.qun.d)
Certificate hofde! is aamed as additj,onal insuled as respects work perforned.
I
T
I
CERTIFICATE HOLOER
SHOULDANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATIOTI OATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
-?";fuea,
AUTHORIZ€D REPRESENTATIVE
R McReynolds /RESTEI
city of Fort colLins
281 N. ColLege Ave.
PO Box 580
Fort Collins, co 80524
O 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD\coRD 25 (2014/01)
NS025 (201401)
renee-mc!eynolds 0Ieavi tt . com
x
23300?O
CANCELLATION