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HomeMy WebLinkAboutBEMAS CONSTRUCTION - INSURANCE CERTIFICATEACOR „ CERTIFICATE OF LIABILITY INSURANCE DATE8 YY) 1o/a/07 /a7 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 B2mae Construction, Inc. INSURERA First Mercury Insurance Co(CRC Insurance Services) INSURERS Hartford Fire Insurance Company INSURERC James River insurance Co (CRC Insurance Services) 80 Inverness Drive EaBt INSURERD Pinnacol Assurance Englewood, CO 80112-5114 INSURER E COVERAGES 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 POLICY EXPIRATION IMMI LIMITS A GENERAL LIABILITY FMAAO01430 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $50,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 0 CLAIMS MADE 1XI OCCUR PERSONAL B ADV INJURY $ 1,000,000 X PD Ded•$10,000 GENERAL AGGREGATE $ 2,000, 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGO $2,000,000 POLICY F X PRO LOC B AUTOMOBILE X LIABILITY ANY AUTO 34UENIQ7601 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY AGO C EXCESS LIABILITY 000190461 09/30/07 09/30/08 EACH OCCURRENCE $ 1,000,000 x] OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ RETENTION $0 D NIORKERS COMPENSATION AND 4032634 10/01/07 10/01/08 X WCSTATU- OTH T E L EACH ACCIDENT $ 500, 000 EMPLOYERS LIABILITY E L DISEASE EA EMPLOYE $ 500,000 EL DISEASE POLICYLIMIT $ 500,000 OTHER 8 a DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Port 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES AUTHORIZED REPRESENTATIVE Port Collins, CO 80522-0580 USA ACORD 25-S (7197) millshae O ACORD CORPORATION 1988 7236521 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 95S (71071 IMA of Colorado, Inc 1550 17th Street Suite 600 Denver, CO 80202 City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 Confirmmet and the party responsible for bringing you this information Powered 13yCert1hcatesNowiA4