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HomeMy WebLinkAbout429212 GLH CONSTRUCTION - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) Rich 6 Cartmill Ins of CO of Colorado LLC 8213 W 20th Street Greeley CO B0634 Phone 970-356-8030 Fax 970-356-8032 INSURED GLH Construction, Inc 780 E Garden Drive Windsor CO 80550 THIS CERTIFICATE IS ISSUED AS A MATTER UH INFURMA I wN 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 # INSURE1 RA Bituminous Insurance Cos I INSURER Pinnacol Assurance HELPER NSURERD INSURER E V VYGrV1VCJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENT 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 INS POLICY EF LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIVY) DATE MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S1,000,000 A IX COMMERCIAL GENERAL LIABILITY CLP3251670 04/01/08 04/01/09 DAMAGE TO RENTED $ 100 000 PREMISES(Ea occurence) I _, I ICLAIMS MADE IX1OCCUR MED EXP(Ariy one person) $5 000 _ PERSONAL BADV INJURY $ 1 000 000 j J GENERAL AGGREGATE $2 000,000 GEN L AGGREGATE LIMITAPPLIES PER IPRODUCTS COMP/OP AGG $2,000,000 POLICY r JECOT LOG AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ 1 000 000 ' X A ANY AUTO I CAP3520442 04/01/08 I 04/01/09 (Eaac den') ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ NON OWNED AUTOS I (Per accldenq — _ PROPERTY DAMAGE $ (Per accidenl) GARAGE AABIUTY AUTOONLY EAACCIDENT $ IANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILRY EACH OCCURRENCE s5,000,000 A X OCCUR ]CLAIMSMADE CUP2581799 04/01/08 04/01/09 AGGREGATE s5 000 000 _ s DEDUCTIBLE $ X RETENTION $ 10 000 $ WORKERS COMPENSATION AND X TORV LIMIT51 ER B EMPLOYERS LIABILITY 4028616 I _ $ 07/01/08 1 07/01/09 EL EACHACCIDENT ~1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE — OFFICERMEMBEREXCLUDED' I I EE DISEASE EA EMPLOYEE $ 1000000 Nes describe under ECIALPROVISIONSbelm `— EL DISEASE POLICYLIMIT $ 1000000 OTHER A Leased / Rented CLP3251670 04/01/08 04/01/09 Limit $250,000 IE > ent DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUBInNe "DED BY ENDORSEMENT/ SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES ACORD 25 L 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 12001/081