HomeMy WebLinkAboutPINKARD - INSURANCE CERTIFICATE (4)A OR CERTIFICATE OF LIABILITY INSURANCE
DATE/YY)
Ol/18/07
/07
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.
1550 17th Street
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 600
Denver, CO 80202
INSURERS AFFORDING COVERAGE
INSURED
Pinkard Construction
INSURER A: National Union Fire Ins. Co. of PA (AIG)
INSURER B: Illinois Union Ins Cc (ACE American Ins Cc)
9195 Nest 6th Avenue
INSURER C: Pinnacol Assurance
IINURERD:Zurich American Insurance Company
Lakewood, CO 80215
INSURER E:
;OVERAGES
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 iMMMDfYYI
POLICY EXPIRATION
DATE 111111MIDID"
LIMITS
D
GENERAL LIABILITY
GL0369651202
11/01/06
11/01/07
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$300,000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$ 10,000
CLAIMS MADE rx I OCCUR
X BI/PD Ded: $50,000
PERSONAL BADVINJURY
$1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2, 000, 000
POLICY FXJERG0j LOC
D
AUTOMOBILE
X
LIABILITY
ANY AUTO
RAP369651302
11/01/06
11/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - FA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS LIABILITY
X OCCUR CLAIMS MADE
BE7227889
11/01/06
11/01/07
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
DEDUCTIBLE
X RETENTION $10,000
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYER
2321400
10/01/06
10/01/07
X WC STATU- OTH-
E.L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYE
$100,000
E.L. DISEASE -POLICY LIMIT
$ 500,000
OTHER
B
Professional Liability
Pollution Liability
$2,000,000 Shared Lmt
CROG23567519002
with Pollution
11/01/06
11/01/07
Each Claim $ 2,000,000
Aggregate $ 2,000,000
Each Claim Ded. $ 25,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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.
RE: CONSTRUCTION OF A 49,980 SQ. FT. NORTRSIDE AZTLAN
CENTER LOCATED AT 112 EAST WILLOW STREET, FORT COLLINS, CO
City of Fort Collins, Colorado
15 North Nason Street, 2nd Floor
0 Box 580
ort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
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
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
USA
(7/97) elespron
)
OACORD CORPORATION T9RR
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