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Home My WebLink AboutPINKARD CONSTRUCTION - INSURANCE CERTIFICATEAC"CERTIFICATE OF LIABILITY INSURANCE 0/24M0°D""' 10/24/06 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION xha 1NA Financial croup, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE INA of Colorado, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Pinkard Construction 9195 West 6th Avenue CO 80215 ICflVFRAr:FS A: National Union Fire II B:Illinoia Union Ins Cc C:Pi=acol Assurance D:Zurich American Insur; American Ina 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MM/012rff) POLICY EXPIRATIONDATE DATE IMIWOO/M LIMITS GENERAL LIABILITY CL0369651202 11/01/06 11/01/07 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(A one fire) $ 300,000 X COMMERCIAL GENERAL LIABILITY rD CLAIMS MADE �OCCUR MED EXP (An one person) $ 10,000 PERSONAL&ADVINJURY $1,000,000 X BI/PD Ded: $50,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO- LOG Jr D AUTo* ILELIABILITY ANY AUTO BAP369651302 11/01/06 11/01/07 COMBINED SINGLE LIMIT (Fa accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY B27227889 11/01/06 11/01/07 EACHOCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $10,000 C WORKERS COMPENSATION AND 2321400 10/01/06 10/01/07 X WCSTATU- I OTH- ELB- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 100, 000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE -POLICY LIMIT $500,000 B OTHER Professional Liability CEOG23567519002 11/01/06 11/01/07 Each Claim $ 2,000,000 Pollution Liability Aggregate $ 2,000,000 $2,000,000 Shared Lmt with Pollution Each Claim Ded. $ 25,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins, Colorado is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. CFRTIFICATF NAI IIFR I I ...^.Al ,ucuem. me,meo, c ... I'AN!`FI I ATInN1 RE: CONSTRUCTION OF A 49,980 SO. FT. NORTNSIDE AZTLAN CENTER LOCATED AT 112 EAST NILLON STREET, FORT COLLINS, CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins, Colorado DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 215 North Mason Street, 2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO Box 580 REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA �J71 AC;UHU 25-J (fIVI) iatimer Q AGOHO GOHPOFIATION 1886 5100829 IMPORTANT if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97) The INA Financial Group, Inc. IMA of Colorado, Inc. 1550 17th Street Suite 600 Denver, CO 80202 City of Fort Collins 300 West La Porte Ave. P.O. Box 580 Fort Collins, CO 80522 USA USA If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. CC: The data .included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered ByCertificafesNown" A OR CERTIFICATE OF LIABILITY INSURANCE 0/24/'°°""' 10/24/06 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The INA Financial Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE INA of Colorado, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Pinkard Construction 9195 west 6th Avenue CO 80215 r_nIFFMAnPQ INSURER B:P innacol Assurance I INSURERC:ZuriCh American Insurance COmDanv �II 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE 1MWDDjrYY1 POLICY EXPIRATION DATE (NIMIDDIM LIMITS C GENERAL LIABILITY GL0369651202 11/01/06 11/01/07 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Anyone tire) $300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE rx� OCCUR MED EXP (Any one person) $ 10,000 PERSONAL 6 ADV INJURY $ 1,000,000 X BI/PD Ded: $50,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2, 000, 000 POLICY X PRO- LOC C AUTOMOBILE LIABILITY ANY AUTO RAP369651302 11/01/06 11/01/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY so (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY BE7227889 11/01/06 11/01/07 EACH OCCURRENCE $ 10,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 10,000,000 $ DEDUCTIBLE $ X RETENTION $10,000 B WORKERS COMPENSATION AND 2321400 10/01/06 10/01/07 X I WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEd $ 100,000 E.L. DISEASE -POLICY LIMIT I $500,000 OTHER a a a DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENLSPECIAL PROVISIONS Certificate Holder is included as Additional Insured on the General Liability Coverage as required by written contract or agreement. A waiver of Subrogation is provided in favor of the Certificate Holder on the General Liability Coverage RE: work Order# H-WRF. 2004-1 Daft Odor Control. ! IWQTIGICATG unl nwo rAkrrrl 1 AVI^k1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 300 west La Porte Ave. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 580 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Port Collins, CO 80522 USA AL,unu YOU t//B/) iacimer O AGURU GUHPUHATIUN 19" 5100530 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.