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HomeMy WebLinkAboutB SHARP CONSTRUCTION - INSURANCE CERTIFICATEACORD� CERTIFICATE OF LIABILITY INSURANCE DATE1/30/04 1 /30/04 PRODUCER 206-701-5000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Acordia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CA License # 0531007 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 91143 Seattle, WA 98111-9774 INSURERS AFFORDING COVERAGE INSURED B Sharp Construction INSURER A: Underwriters at UoVd'S Attn: Darci Sharp INSURER B: Safeco Insurance Companies 1302 N. 30th INSURER C: Renton WA 98056 INSURER D: INSURER E: rnvooer_cc 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 TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDNYI POLICY EXPIRATION DATE (MMIDDNYI LIMITS A 17 GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51 OCCUR CJ0426026 2/01 /04 2/01 /05 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) S 100000 MED EXP (Any one person) $ 5000 PERSONAL& ADV INJURY S 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- 1-1 LOC PRODUCTS - COMP/OP AGG $ 2000000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 02CE05866301 2/01 /04 2/01 /05 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY IPer person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ 8 $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WA STOP GAP CJ0426026 2/01l04 2l01/05 TV ORV LIMITS OER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Proof of Insurance is CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Ft. Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 281 N. College Avenue NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Ft. Collins, CO 85022 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE C ACORD 25-S (7/97) 11- 56 U( ,CO"ORPORATION 1988 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 (7197)