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HomeMy WebLinkAboutCrestone Services Group, LLC - Insurance Certificate AC"RV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 IMA, Inc. -Colorado NAME: IMA Construction Team 1705 17th Street, Suite 100 EINSURIERIC:Zurich ---�--______-___ Denver CO 80202 A/C No), : constructioncerts imacor .com INSURERS)AFFORDING COVERAGE __NAIC p -_-- _—.—_____ INSURER Continental Casual Com an L ----- ----- --- _-- 20443 INSURED CRESSER-01 Crestone Services Group, LLC INSURERS:The Continental Insurance Company 352139 Den York St, C:Zurich American Insurance Company I 16535 Denver, CO 80229 DE:COVERAGES : CERTIFICATE NUMBER:1321783348 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 ;ADDLISUSRj LTR TYPE OF INSURANCE T POLICY EFIF 1 POLICY EXP -- IN WVD POLICY NUMBER A X ! COMMERCIAL GENERAL LIABILITY i MM/DD/YYYY MM/DD/YYY LIMITS _ 7063875353 1 3/1/2025 1 4/1/2026 CLAIMS-MADE ! X EACH OCCURRENCE X j— OCCUR D AGE T E $1,000,000 Contr Llab Ind. i PREMISES Ea(__occurrence $100.000 _ X I 1 MED EXP(Any one person) $15,000 XCU Not Excluded GEN'L AGGREGATE OMIT APPLIES PER: PERSONAL&ADV INJURY $1,000,000 r POLICY X ' PRO- X ' I GENERAL AGGREGATE JECT _ LOC 1 ------______A $2,000,000` j 1 PRODUCTS-COMP/OPAGG $2,000,000 OTHER: _ B AUTOMOBILE LIABILITY i $ 7063875336 3/1/2025 4/1/2026 COMBINED SINGLE LIMIT X j ANY AUTO i I _(Ea accdent $1,000,000 AO NED UTOS ONLY i SCHEDULED BODILY INJURY(Perperson) $ X HIRED AUTOS AUTOS ONLY X NON-OWNED I BODILY INJURY(Per accident) $ AUTOS ONLY I j �PROPERTYDAMAGE (Per accidenQ.- - $ B : UMBRELLA LIAB x $ X EXCESS LIAB --_-----_--- OCCUR 7063875322 3/1/2025 4/1/2026 EACHOCCURRE — SS CLAIMS-MADE I $5,000,000 NCE I DED X RETENTION$ I I AGGREGATE $5_000,000 WORKERSCOMPENSATION — $ — AND EMPLOYERS'LIABILITY I Y/N ER ERH- ANYPROPRIETOR,PARTNER.'EXECUTIVE STATUTE OFFICER/MEMBEREXCLUDED? rr 1 N/A I [DENT i I E.L.EACH ACC l (Mandatory In NH) l- _j II yes,describe under 1 E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below � ; --- C j Unscheduled Contractors Equipment E.L.DISEASE-POLICY LIMIT $ CPP988679401 3/1/2025 i 4/l/2026 Limit j Deductible $17,514,971 $10.000 DExcess Second Layer ESCRIPTION OF OPERATION/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Effective Dates:03/ Liability01/2025 4/01/2026 Policy SiriusPoint Specialty Insurance Corporation $5,000,000 Each Occurrence;$5,000,000 Aggregate Automob le Physical Effective IDa es:03/01/2025 Damage-04/01/2026 Insurer B See Above $2,000 Comprehensive Deductible;$2,000 Collision Deductible See Attached... 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 Attn: Engineering Department CORDANCE WITH THE POLICY PROVISIONS. 281 N. College Avenue Fort Collins CO 80524 :];AC THORIZEDREPRESENTATIVE USA � ( - ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORDORD CORPORATION. All rights reserved. 4995: 2 ' of 3 1 AGENCY CUSTOMER ID: CRESSER-01 LOC#: `{CoitV® ADDITIONAL REMARKS SCHEDULE FAGENCYPage ofnc.-Colorado NAMED INSURED Crestone Services Group, LLC UMBER 7080 York St. Denver, CO 80229 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 Crime Coverage:Policy#107181082 Effective Dates:3/1/2024-3/1/2027 Insurer: Travelers Casualty&Surety Company of America $1,000,000 Employee Dishonesty Limit,$10,000 Deductible Leased&Rented Equipment Coverage: Policy#CPP988679401 Effective Dates:03/01/2025-04/01/2026 Insurer C: See Above $1,000,000 Limit;$10,000 Deductible Professional/Pollution Liability Coverage: Policy#PNV10015300503 Effective Dates:03/01/2025-04/01/2026 Insurer: Endurance American Specialty Insurance Company Pollution:$5.000,000 Each Occurrence;$5.000,000 Aggregate Professional:$5,000,000 Limit $25.000 SIR Deductible ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4995: 3 ' of 3