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HomeMy WebLinkAbout448494 AAA WATERPROOFING INC - INSURANCE CERTIFICATEOP ID: ME A�O�RO' CERTIFICATE OF LIABILITY INSURANCE DAT12/21D/YYYY) 12/21 /10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsements . PRODUCER 303-996-7801 CRS Insurance Brokerage 303-757-7719 Commercial Risk Solutions DBA 6600 E. Hampden Ave: Denver, CO,80224 Scoff M White CIC, ARM NAMECT PHONE FAX Ext : A/C No E A �� ADDRESS: PRODUCER CUSTOMER ID#:AAAWA-1 INSURERS AFFORDING COVERAGE NAIC # INSURED aaa Waterproofing, Inc. 750 West 48th Avenue Denver, CO 80216 INSURER A: Companion Specialty Ins. CO. INSURER B : Westfield Insurance Co. INSURER C : Pinnacol Assurance INSURER D : INSURER E : INSURER F : No Coverage Applies COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER EFF MM DD//YYYY POLICY EXP MM/DDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR VGLI021085 01/01/11 01/01/12 EACH OCCURRENCE $ 1,000,000 DAMA E T RENTED PREMISES Ea occurrence $ 50,00 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,00 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRA4985352 01/01/11 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE VUE1111224 01/01/11 01/01/12 EACH OCCURRENCE $ 2,000,000 X AGGREGATE $ 2,000,000 X DEDUCTIBLE __ RETENTION $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y- OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4051555 01/01/11 01/01/12 X I WC STATU- OTH- T RY LIMITS_ E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,000 g Rented/Leased Equipment TRA4985352 01/01/11 01/01/12 Limit 10,00 Deduct. 5,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Re: CSU Transit Center. litK I IVIUA I t NULUtK L:ANC:tLLA I IUN CIFORTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 117 N. Mason Street Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE I ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD