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
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