HomeMy WebLinkAboutChamco Construction Inc - Insurance Certificate 2024-2025LAD.CERTIFICATE OF LIABIL]TY INSURANCE oATElt 5/OOTaYYY)
111512025
THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVEHAGE AFFOBDED BY THE POLICIES
BELOW. THIS CEBTIFICATE OF INSUBANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
FEPBESENTATIVE OB PRODUCER, AND THE CEHTIFICATE HOLOER.
IMPORTANT: ll tho certlllcrte holder l3 an AODITIONAL INSURED, the policy(ies) must h6ve AODITIONAL INSURED provieions or be ondorsed.
l, SUBROGATION lS WAIVEO, lubJecl to the lerms and condlllons ol th€ pollcy, cenaln pollcle! may r€qulre an endor3em6nt. A etatemant on
lhls cenlflcate does not conler riohts to lhe ce(lllcate holder ln lleu ol ruch endorsement(s).
PNODUCEF
CRS lnsurance Brokersge
9780 S Meridran Blvd Surte 400
Englewood CO 801 '12
Scott Anderson, CIC
303-996-7833 T 3A3-7 57 -77 19
sanderson qsdenver com
INSU s)AfloFDING covEFAG€ll^rc r
I 41190rNsuBEB a : Pinnacol Assurance
INSUFEO
Chamco Construction lnc
PO Box 621167
Littleton CO 80162
CHAMCON.Ol r suFEFB: Continental Wastorn lns Co 10804
INSUBEBC
INSUFEFO
INSUFEF E
COVERAGES CEHTIFICATE NUMBEB: 1 617 a7 a845 REVISION NUMBER:
THIS IS TO CEFTIFY THAT THE POLICIES OF INSUBANCE LISTED EELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOF THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH BESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUEO OR MAY PENTAIN, THE INSURANCE AFFOBDEO BY THE POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS,
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCEO AY PAID CLAIMS,
INSF
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suBB
TYPEOF INSUAAXCE nso wvn POUCYNUMBEF
FoucY EFF PoucY axP
rMLDO YYYn rMtlDhtYYYl LIIrlTS
B x corfiaEFcl^! GEI{EFA! LratruTY cP43278762 6t1312024 6113n025
CLAIMST,IAOE !l-] occua
MED EXP s 10 000
PERSONAL 6 AOV INJUFY ! 1,OOO,OOO
GEN L AGGREGATE Lll',lrT AFPIIES PER GENEFAlAGGFEGAIE 32.000.000I -u"" ix ltFS;
lorr.,
L _l Loc PRODlJcrS. COMP/OP aGG i t2.000.000
!
B AUiO$OAILE UABIfITY cPA3278762 6t1312021 6113n025 o INGLE LIMIT s 1.000,000
X
OWNED
AUTOS ONLY
HIBEO
AUTOS ONIY
@OILY IiUUFY lPerp€Bon)
SCHEOULED
AUlOS
NON OWNEO
AUTOS ONLY
aODILY |1\UUFY 1Pe, aocdenr)
x X E
$
a X UI'BFELLA LIAB
EXCEgs UAA
occua
CL^IMS.MAOE
cPA3278762 6113t2024 6113t2025 EACHOCCURAENCE $4 000.000
AGGFEGAIE $4 000 000
X NETENTION t,
WOFKEFSCOTJ|PENSATION
A'IO EMPLOYEFS' LIABILIiY
4 l 20936 21112025 2t1t2026 x
AT.IYPROPBIETOFTPAFITIIERTEXECUTIVE
OFFiCERO,tEMEEBEXCLUOEO?(lr.r6.rory ln Xtl)
N
E L, EACH ACCIOENI 1500.000
EL DISEAS€ EA EMPLOYE t 500.000
E L. DISETASE - POLTCY LlMll $ 500 000
a cP43218762 5t1312024 6/132025 Llni r50 000
1000
oESCRTPTION OF OPERATTOTG / IOCATIOXS / VEHICIES (ACOAO l0l, Addttlon lE r.rt. &h.dul.. mry t,. tt.ch.d li nro.. .Fc. l. r.q!t d)
C.rbficat. Holdcr i6 in6lud.d as additonal insured Ior ongorng opcratons on tho GonGral Liability and includ.d as additronel ahsur.d on thc Auto LiEbility with
respect to operat ons ol the named ihsured for the certificate holder as required by written conkact
CERTIFICATE HOLDEH CANCELLATION
City of Fort Collins
28'1 North College Ave
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE OESCRIBED POUCIES BE CANCELLED AEFORE
THE EXPIRATION DAfE THEREOF, NOTICE WILL BE DELIVEBED IN
ACCONDANCE WTTH THE POLICY PROVISIONS.
AUTHOBIZEO BEPBESENTATIVEZe"z'z*=
O 1988-2015 ACORD CORPORAION. All rlght! rEtsrv8d.
The ACORO nem6 and logo aro rogbtered msrks ol ACORDACORO 25 (20r6/03)
334 2 ot 1€
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