HomeMy WebLinkAbout472325 KREUTZMAN CONSTRUCTION INC - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(YYY)
oa/MMw/D°on
PRODUCERPIN
7501 E o ASSURANCE
501 Lowry Blvd
Denver, CO 80230-7006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
KREUTZMAN CONSTRUCTION INC AND NEXT GENERATION ENERGY
LLC
75 WANEKA PARKWAY
LAFAYETTE, CO 80026
INSURER PINNACOL ASSURANCE
41190
INSURER B',
wNS
PEN:
ISUR:.
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 DOCUMMENT 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
AOO'L
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
WORD
TYPE OF INSURANCE
POLICY NUMBER
DATEIMM/DD/YYYV
DATEIMM/DDNYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MEDE% An onepaWn
PERSONAL A ADV INJURY
GENT AGGREGATE LIMIT APPLIEERS PER:
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG
POLICY PROJWTI LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
RANY AUTO
E. A...
BODILY INJURY
_ ALLOWNEDAUTOS
SCHEDULEDAUTOS
Per pemon)
BODILY INJURY
HIRED AUTOS
NON -OWNED AUTOS
Pereaban
PROPERTY DAMAGE
IPorecWaN)
GARAGE LIABILRY
AUTOONLY EAACCIDENT
OTHERTHAN EA ACC
ANY AUTO
AUTOONLY: AGG
EXCESSNNBRELLA LIABILITY
EACH OCCURRENCE
OCCUR CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
WC STATLL Li OTHER
A
EMPLOYER'S LIABILITY
ANY PROP0.IETORIPARTNERIFXECUTVE
4116940
08/01/2010
OB/01/2011
TDRY LIMITS
EL EACH ACCIDENT
$1,000,000
OFFICERIMEMBER EXCLUOE09
EL DISEASE-PFA EMPYEE
$1.000,000
Il yes, pleasetlxcnEeuMerSPECIAL PROVISIONS Oebw
E.L OISEABEOLICLO
Y LIMIT
1000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1300019
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CIYT OF FORT COLLINS
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
201 LAPORTE AVE
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
FORT COLLINS CO 80521-2739
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
L ._. . -
Arnold Dowd
ACORD 25(2001/08)
Underwriter ACORD CORPORATION 1988
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(YYY)
oa/MMw/D°on
PRODUCERPIN
7501 E o ASSURANCE
501 Lowry Blvd
Denver, CO 80230-7006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
KREUTZMAN CONSTRUCTION INC AND NEXT GENERATION ENERGY
LLC
75 WANEKA PARKWAY
LAFAYETTE, CO 80026
INSURER PINNACOL ASSURANCE
41190
INSURER B',
wNS
PEN:
ISUR:.
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 DOCUMMENT 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
AOO'L
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
WORD
TYPE OF INSURANCE
POLICY NUMBER
DATEIMM/DD/YYYV
DATEIMM/DDNYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MEDE% An onepaWn
PERSONAL A ADV INJURY
GENT AGGREGATE LIMIT APPLIEERS PER:
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG
POLICY PROJWTI LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
RANY AUTO
E. A...
BODILY INJURY
_ ALLOWNEDAUTOS
SCHEDULEDAUTOS
Per pemon)
BODILY INJURY
HIRED AUTOS
NON -OWNED AUTOS
Pereaban
PROPERTY DAMAGE
IPorecWaN)
GARAGE LIABILRY
AUTOONLY EAACCIDENT
OTHERTHAN EA ACC
ANY AUTO
AUTOONLY: AGG
EXCESSNNBRELLA LIABILITY
EACH OCCURRENCE
OCCUR CLAIMS MADE
AGGREGATE
DEDUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
WC STATLL Li OTHER
A
EMPLOYER'S LIABILITY
ANY PROP0.IETORIPARTNERIFXECUTVE
4116940
08/01/2010
OB/01/2011
TDRY LIMITS
EL EACH ACCIDENT
$1,000,000
OFFICERIMEMBER EXCLUOE09
EL DISEASE-PFA EMPYEE
$1.000,000
Il yes, pleasetlxcnEeuMerSPECIAL PROVISIONS Oebw
E.L OISEABEOLICLO
Y LIMIT
1000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
1300019
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CIYT OF FORT COLLINS
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
201 LAPORTE AVE
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
FORT COLLINS CO 80521-2739
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
L ._. . -
Arnold Dowd
ACORD 25(2001/08)
Underwriter ACORD CORPORATION 1988