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HomeMy WebLinkAboutColorado Barricade Company - Insurance Certificatei 00 DATE(MM/DD/YYYY) ,a`?R" CERTIFICATE OF LIABILITY INSURANCEF6/30/2023 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 NAME:CONTACT IMA Construction Team IMA, Inc. -Colorado Division PHONE A 1705 17th Street, Suite 100 A/c No): Denver CO 80202 E-MAIL constructoncerts@imacorp.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Federal Insurance Company 20281 INSURED COLOBAR•02 INSURERS: Executive Risk Indemnity Inc. 35181 Barricade Holdings LLC dba: Colorado Barricade Company 2295 S Lipan Street INsuRERc:Travelers Property Casualty Company of America 25674 Denver CO 80223 INSURER D:Chubb Insurance Company of Canada INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:100752750 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' - - _ - ADDLjSUBR __ _ - - LTR TYPE OF INSURANCE i IN SD i WVD POLICY NUMBER MMIDDIYYYY MM`DONYYV , LIMITS B X COMMERCIAL GENERAL LIABILITY 54310238 7/1/2023 7/1/2024 EACHCURRENCE $2,000,000 To CLAIMS-MADE l OCCUR PROCEMISES Ea occurrence $100,000 _- X BI/PD DED:$10K i MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 _GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ $4,000,000 POLICY u EOT i7 LOG f PRODUCTS-COMP/OP AG JC G $4.000,000 OTHER: $ A AUTOMOBILE LIABILITY 54310237 7/1/2023 7/1/2024 COMBINED SINGLELIMIT $1,000,000 X ! ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X jHIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY k I AUTOS ONLY Per accident)_____ A X UMBRELLA LIAB X 93652732 7/1/2023 7/l/2024 OCCUR EACH OCCURRENCE $5.000.000 EXCESS LIAB CLAIMS-MADE L--AGGREGATE $5,000,000 ---- �..-_.---- -- --'-'--- I --- DED 1 X i RETENTION$ $ ` D WORKERS COMPENSATION 54310239 7/1/2023 7/l/2024 X PER OTH. AND EMPLOYERS'LIABILITY �STA YINTUTE ER ANYPROPRIETOR%PARTNER/EXECUTIVE i I E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? ❑ N/A — — - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 II as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Leased&Rented Equipment OT-630-4H598808-TIL-23 7/1/2023 7/1/2024 1 Limit $250,000 j Deductible $1,000 SPC FormIRC i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Professional Liability Coverage: Policy#PCXB-5022533-0723 Effective Dates:07/01/23-07/01/24 Insurer: Berkley Assurance Co $3,000,000 Aggregate;$3,000,000 Each Occurrence;$15,000 Deductible Retro Date:03/18/2016 Pollution Liability Coverage: Policy#PCXB-5022533-0723 Effective Dates:07/01/23-07/01/24 Insurer: Berkley Assurance Co $3,000,000 Aggregate;$3,000,000 Each Occurrence;$15,000 Deductible See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN APWA Western Snow& Ice Conference ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE USA V 01968-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 329: 2 ' of 11 AGENCY CUSTOMER ID: COLOBAR-02 LOC#: ACO® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED IMA, Inc.-Colorado Division Barricade Holdings LLC dba: Colorado Barricade Company 2295 S Lipan Street POLICY NUMBER Denver CO 80223 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 No Independent Contractor Exclusion on the General Liability. Certificate Holder is included as Additional Insured on the General Liability including Ongoing and Completed Operations.Automobile and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions.This Insurance is Primary&Non-Contributory on the General Liability,Automobile Liability,and Umbrella Liability policies subject to the policy terms and conditions. A Waiver of Subrogation Is provided in favor of Additional Insureds on the General Liability,Automobile Liability, Umbrella Liability and Workers Compensation policies if required by written contract or agreement and with respect to work performed by Insured,subject to the policy terms and conditions.The Umbrella Liability policy is excess of the General Liability,Automobile Liability, and Employers Liability policies.30 Day's Notice of Cancellation on the General,Automobile, Umbrella Liability and Workers Compensation Policies. RE: Snow&Ice Show. Certificate Holder Continued:APWA Western Snow& Ice Conference ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 329: 3 ` of 1£