HomeMy WebLinkAboutSPECTRUM CONSTRUCTION - INSURANCE CERTIFICATErranffi- 971I74
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ACORD� CERTIFICATE OF LIABILITY INSURANCE
oa/15106
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Colorado
720 S. Colorado Blvd Ste 600-N
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 469025
Denver, CO 80246-9025
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Spectrum Construction
INSURERA: Continental Western Insurance Compan
10804
INSURER B: AIG -
66842
Contracting LLC
7399 S. Tucson Way, #C-5
Englewood, CO 80112
INSURER C: PinnaCol Assurance
10780
INSURER D:
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY DATE MMEFFECTIVEDIYYIDATE
MM/DMIDDI POLICY ON
LIMITS
A
GENERAL LIABILITY
CNP2606861
05/01/06
05/01/07
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
DAMAGE 7PREMIS 0 RENTED
$250 000
CLAIMS MADE Ux� OCCUR
$5000 PD Ded
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1000000
CG2037(07/04)
AddrlIns Form
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$2000000
POLICY X PE T LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
CNP2606861
05101/06
05101/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,00D
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
X
PROPERTY DAMAGE
(Par accident)
$
Comp/500 Ded
X
Coll/500 Ded
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESSIUMBRELLA LIABILITY
BINDER216514
05/01106
05/01/07
EACH OCCURRENCE
$10 000 000
X1 OCCUR CLAIMS MADE
AGGREGATE
$1000O 000
$
DEDUCTIBLE
$
X RETENTtON $-0-
C
WORKERS COMPENSATION AND
4055991
05/01/06
05/01/07
X WC STA IT OTH-
EEL
EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVF.
E.L. EACH ACCIDENT
a1,000,000
E.L. DISEASE -EA EMPLOYEd
$1,000,000
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
I E.L. DISEASE - POLICY LIMIT
11111,000,000
A
OTHER Leased/
CNP2606861
05/01106
06/01107
$200,000 Special Form
Rented Equipment
$1000 Ded
Installation
Special Form
$800,000 - Ded $2500
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
Re: Contractors License
* The following cancellation conditions always apply:
-10 days for non-payment of premium
(See Attached Descriptions)
City of Fort Collins
281 N. College Ave.
Fort Collins, CO 80522
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *_in DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED
ACORD 25 (2001108) 1 of 3 #S287700/M287670 JXA 0 ACORD CORPORATION 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 25S (2001108) 2 of 3 #S287700(M287670
DESCRIPTIONS (Continued from Page 1) 1
- If policy shown, 10 days for Workers' Compensation for fraud;
material misrepresentation; non-payment of premium; other reasons
approved by the Commissioner of Insurance
AMS 26.3 (2001/081 3 of 3 #S287700/M287670