HomeMy WebLinkAboutDLH MANAGEMENT DBA BRICKEY CONSTRUCTION - INSURANCE CERTIFICATEACORD
TM. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
o7/24/2006
PRODUCER Phone: (303) 420-4774 Fax: 303-420-2882
MOUNTAIN INSURANCE BROKERS
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3705 KIPLING ST, #106
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
WHEAT RIDGE CO 80033
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: NATIONAL CONTRACTORS INS CO
INSURER B:
DLH MANAGEMENT CORP
DBA BRICKEY CONSTRUCTION
3400 INDUSTRIAL LANE #6D
INSURER C:
INSURER D:
DENVER CO 80020
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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
SR
TR
ADD'L
INSR
TYPE OF INSURANCE
POLICY NUMBER
PRATE EFFED NE
PRICY EXPIRATION
LIMITS
GENERAL LUUIlLIT/
GLO70606004253
07/01/06
07/01/07
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES(Eaaxurence)
$ 50,000
X COMMERCIAL GENERAL LIABILITY
X CLAIMS MADE ❑ OCCUR
MED. EXP (Any one person)
$ 5,000
PERSONAL B ADV INJURY
$ 1,000,000
A
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMPIOPAGG.
$ 1,000,000
-
POLICY JPECROT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
ALL OWNED AUTOS
SCHEDULEDAUTOS
(Per person)
$
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
$
—
Per accident
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
AUTO ONLY: AGG
$
EXCESS ) UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR 17 CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TO Y UMITI OTHER
TORV LIMITS
E. L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUfNE
E.L. DISEASE -EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If you, CMkrlb. anon
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT
$
OTHER:
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS
215 NORTH MASON STREET
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE
FORT COLLINS, CO 80522-0580
TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
IT'S AGENTS OR REPRESENTATIVES.
Attention:
AUTHORIZED REPRESENTATIVE
Kevin Kru a
ACORD 25 (2001108) Certificate # 15442 0 ACORD CORPORATION 1988