HomeMy WebLinkAboutPre Action Fire, Inc. - Insurance Certificate i
,ac RORo o® CERTIFICATE OF LIABILITY INSURANCE F
—DATE(`DDNYYY)
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(tes)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 CON ACT
CRS Insurance Brokerage NAME: Andrew Safe —
PHONE
9780 S Meridian Blvd Suite 400 303-996-7800 FAX No,303-757-7719
Englewood CO 80112 E-MAIL
ADDRESS: a5afc@cr5denver.com
INSURERS AFFORDING COVERAGE NAIC C
INSURED
---.._-- - INSURER A: Plnnacol Assurance 41190
---_- --
Pre Action Fire, Inc -PREACTI-OtINSURERS:Continental Western Ins Co. 10804
2921 W. 38th Ave#453 INSURERC:Champlain Specialty Insurance Company 16834
Denver CO 80211 INSURER D:Westchester Fire Ins.Co.
-- --- --- - --- - ---- ---- ------ 10030
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER:596400116 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. ._-.. —�ADDLi§l1Bgj... _ _
RANCE IN D WVD I POLICY NUMBER 1 POLICY EFF POLICCY EXP � —
L7R F INSU MMroDrYYVY MMroO/YYY LIMITS
C X COMMERCIAL GENERAL LIABILITY i CSSECGL000384301 1/1/2025 1/1/2026 EACHOCCURRENCE
CLAIMS-MADE $1,000,000
X OCCUR A GE O RE TED
PREMISES Ea occurrence $100,000
MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY
$1,000.000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY i� PRO- L I ---
I JECT LOG
----GREG
PRODUCTS-COMP/OPAGG $2,000,000
OTHER: I $
B AUTOMOBILE LIABILITY CPA3304139-20 1/1/2025 111/2026 COMBINED SINGLE LIMIT
_
X ANY AUTO I {Eaaccidenq._ $1,000,000
OWNED SCHEDULED BODILY INJURY(Per person) $
AUTOS ONLY AUTOS i BODILY INJURY(Per accident) $
)( ; HIRED X NON-OWNED i PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY
$
$
C X UMBRELLALIAB X I OCCUR I CSSECEL000384401 1/1/2025 1/1/2026
EACH OCCURRENCE $2,000,000
EXCESS u A RETENTION$
-_-- __..I _CLAIMS-MADE__
DED XI AGGREGATE 52,000,000
A WORKERS COMPENSATION $
AND EMPLOYERS'LIABILITY 4141152 1/1/2025 1/1/2026 X ER OTH-
Y/N STATUTE ER
ANYPROPRIETOR PARTNER EXECUTIVE N
OFFICER/MEMBEREXCLUDED? N/A; i E.L.EACH ACCIDENT $1,000,000
(Mandatory In NH) —
If yas,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
e I Leased&Rented Equipment CPA3304139-20 1!1/2025 1/1/2026 Lim UDed
C I Prof Pollution
Li l ility ty CSSECGL000384301 ! 1 Occurrence 100,000/1,000
D Pollution Liability 1/1/2025 1/1/2026 1,000,000
j G48616860001 1/1/2025 1/1/2026 Aggregate 2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
RE:Contractors Licensing
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Development Review Center ACCORDANCE WITH THE POLICY PROVISIONS.
Contractor Licensing
281 North College Avenue AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521
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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