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HomeMy WebLinkAboutCOMPLETE CONSTRUCTION SERVICES INC. - INSURANCE CERTIFICATEOP ID ACORD CERTIFICATE OF LIABILITY INSURANCE COMPL-8 DATE (MM/DDIYYYY) 12/30/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor P O Box 2226 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone : 970-482-7747 Fax : 970-484-4165 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Mountain States Mutual 14648 - INSURER B: Plnnacol Assurance Company, 41190 Complete Construction Services Inc. 10017A East Harmon yy Rd #322 Fort Collins CO 80525 INSURERC: INSURERD: 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 INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X X COMMERCIAL GENERAL LIABILITY CPP008050208 01/21/10 01/21/11 pP EAISESAGE� (Eaoflcuence) $ 100,000 CLAIMS MADE X� OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY ECT F-1 LOC A AUTOMOBILE LIABILITY ANY AUTO BAP008050208 01/21/10 01/21/11 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) - $ _ HIRED AUTOS . NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A X1 OCCUR CLAIMSMADE UMB008050208 01/21/10 01/21/11 AGGREGATE $ 1000000 $ DEDUCTIBLE $ X RETENTION $ O - B - WORKERS COMPENSATION AND - EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE - - 4066288 - 02/01/10 - 02/01/11 WC H- X- STAT �l'ORY LIMITS I I ER E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 OFFICER/MEMBEREXCLUDED? If yyes, describe under SPEC,ALPROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Fort Collins is included as Additional Insured on the General Liability as respects the operations of the named insured. Attn: Contractor Licensing FAX: 970-224-6134 CERTIFICATE HOLDER CANCELLATION CITYFC8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins 300 LaPorte Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. ACORD 25 (2001/08) © ACORD CORPORATION 1988