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HomeMy WebLinkAbout4 K Painting & Drywall, Inc. - Insurance Certificate 4KPAINT-01 BADAMS ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/17/2024 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 AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: _ PFS Insurance Group PHONE FAX 4848 Thompson Parkway Suite 200 A/c,N Ft):(970)635-9400 A/C,No:(970)635-9401 Johnstown,CO 80534 ADDRESS:AI info@mypfslnsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:EMC Insurance Group 21416 INSURED INSURER B: 4K Painting&Drywall, Inc. INSURERC: 9062 West 1st Street INSURER D: Wellington,CO 80549 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE OCCUR BBC0566 1/1/2025 1/1/2026 DAMAGE TO R(EeENTEDSr $ 300,000 MED EXP(Any oneperson) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Fx-1 jpeT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY CO aBcl aEeD SINGLE LIMIT $ 1,000,000 X ANY AUTO 6E68890 1/1/2025 1/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY Per accident $ _ X AUTOS ONLY rx AOt-O$ONlY PerOacEcidentDAMAGE $ - A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE 6J68890 1/1/2025 1/1/2026 AGGREGATE $ 4,000,000 DIED I X I RETENTION$ 10,000 WORKERS COMPENSATION SPTERTU T OTH- AND EMPLOYERS'LIABILITY Y/N ANY RIETOR EXCLUDED?ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ (Mandatory in B H) E.L.DISEASE-EA EMPLOYE $ If yes,RIPPI describe underTIGNSte — fi DISEASE--P6N6t-LIM T DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NCTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 Fort Collins,CO 80522 AUTHORIZED �REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD