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HomeMy WebLinkAbout- - (28) i AGENCY CUSTOMER ID: SPYDCON-01 LOC#: ACO® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED IMA, Inc.-Colorado Sppyyder Construction LLC 7550 S Grant Street,Suite B POLICY NUMBER Littleton CO 80122 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Automobile Physical Damage Coverage: Policy#CA21234780 Effective Dates: 6/1/2025-6/1/2026 Insurer A: See Above $1,000 Comprehensive Deductible:$1,000 Collision Deductible Leased&Rented Equipment Coverage Policy: CPP21234770 Effective Dates: 6/1/2025-6/1/2026 Insurer:Amerisure Insurance Company $100,000 Limit;$1,000 Deductible Workers Compensation Information: Proprietors/Partners/Executive Officers/Members Excluded:subject to the policy terms and conditions. Certificate Holder and all other parties required by the contract are included as Additional Insured including Ongoing and Completed Operations on the General Liability Policy and Additional Insured on the Automobile Liability and Umbrella Liability Policies,if required by written contract or agreement,subject to the policy terms and conditions. This Insurance is Primary&Non-Contributory on the General Liability Policy,if required by written contract or agreement,subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Certificate Holder and all other parties required by the contract on the General Liability,Automobile Liability, Umbrella Liability and Workers Compensation Policies,if required by written contract or agreement,subject to the policy terms and conditions. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 544: 3 ' of 2