HomeMy WebLinkAboutCleanMaster Services of Denver - Insurance Certificate ,ac RO o® CERTIFICATE OF LIABILITY INSURANCE DATE(MYYY)
12/2 712027/2024
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
CRS Insurance Brokerage PHONE -Shona TamayO FAX
9780 S Meridian Blvd Suite 400 303 996 7800 ac.No:303-757-7719
EnEnglewood CO 80112 E-MAIL
9 ADDREss__stamayo@crsdenver.com
INSURERS)AFFORDING COVERAGE T NAIc s
- -
INSURER A; Employers Mutual Casualty Co. 21415
INSURED FIRSGEN-01 INSURER B:Pinnacol Assurance 41190
First General Services of Denver LLC&
CleanMaster Services of Denver, LLC INSURER C:Nautilus Insurance Co. 17370
7079 S. Jordan Rd. Ste. #6 INSURER D:
Centennial CO 80112 INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER:2056593025 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 _ ,ADDLISUBR' , POLICY EFF POLICY EXP --- - -
LTR: TYPEOFINSURANCE IN WVD POLICY NUMBER MM;DDlYYVY ! MM/DD/YYYY LIMITS
C X COMMERCIAL GENERAL LIABILITY EMP20002585-04 12/28/2024 12/28/2025 EACHOCCURRENCE ($1.000.000
TO RENT —
CLAIMS-MADE X OCCUR DAMAGE
SES Ea oca,rrence
$100,000
r—
----)—
�MED EXP(Any one person) $10.000
I
PERSONAL&ADV INJURY $1,000,000
GENT AGGREGATE LIMIT APPLIES PER: IG
PRO- ENERAL AGGREGATE $2,000,000
X POLICY JECT ul LOC h_ ---- -
PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $ _
A AUTOMOBILE LIABILITY ;BODILY
MBINED SINGLE LIMIT
6X28400 12/28/2024 12/28/2025 $1,000,000
-acciden{)---- — --- ------
X ANY AUTO INJURY(Per person) $
OWNED r i SCHEDULED I
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
X HIRED X OWN NON- EDPROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY $
r— I _(Per_a, ccidenq
C UMBRELLA LIAB ! X OCCUR EMX20000684-04 12/28/2024 12/28/2025
I EACH OCCURRENCE $1,000,000
X ! EXCESS A9 ON$ CLAIMS•MADE I ` 000
-- - --- i _AGGREGATE - $1,000,000
DED RETENT
g WORKERS COMPENSATION 4142956 2/1/2025 2/1/2026 X STATUTE E
AND EMPLOYERS'LIABILITY R _
ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N
OFFICERIMEMBEREXCLUDED? a N/A �_E_L_EACH ACCIDENT $1,000,000
(Mandatory In NH) i I I E.L.DISEASE-EA EMPLOYEE $1,000,000
II yes,describe der
DESCRIPTION OF OP
un ERATIONS below I I E.L.DISEASE-POLICY LIMIT $1,000,000
C I Contractor Pollution Liability EMP20002585-04 12128/2024 j 12/28/2025 CPL/Per Occurrence 1.000,000
C ;Professional Liability EMP20002585-04 12/28/2024 ! 12/2812025 Professional Uab 1,000,000
CPUProf Dad 10,000
1
DESCRIPTION OF OPERATIONS/LOCATIONS I 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
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
281 N. College Ave. AUTHORIZED REPRESENTAT V
Fort Collins CO 80524 C.
01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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