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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