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HomeMy WebLinkAbout101137 PINKARD CONSTRUCTION - INSURANCE CERTIFICATEa� I ® CERTIFICATE OF LIABILITY INSURANCE U10/10/so11ATE I°DI TTTO 1o/lou 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(iss) 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 endorsement(s). PRODUCER 1-303-534-4567 CONTACT INA of Colorado, Inc. PHONE FAX IC, No, E.tp No): E-MAIL ADDRESS: 1550 17th Street Suite 600 Denver, CO 80202--INSURER(S) AFFORDING COVERAGE NAIC4 INSURER A: ZURICH ANER INS CO 16535 _^ INSURED— 1�`1 INSURERS: NATIONAL UNION PIRS INS CO OP PITTS 19495 Pinkard Construction INSURER c: PINNACOL ASSOR 141190 9195 West 6th Avenue INSURER D: Lakewood, CO 80215 INSURERE:_ INSURER F COVFRAGFS CERTIFICATE NUMBER- 23565251 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. ILA TYPEDFINSURANCE IfA00LISUBR POLICY NUMBER I MMIODOUCIYYYt�M1IC 001YYYY LIMITS A IGENERAL LIABILITY X rr COMMERCINI GENERAL LIABILITY CLNMS-MADE L� OCCUR X $5,000 Deductible OW931935600 11/01/11 11/01/12 EACHOCCURRENCE DAMAGE TO RENTED -PREMISES owune9cej_ NED EXP(My we parson)_ PERSONAL A ADV INJURY 11, 000, 000 $ 300, 000 $ 5.000 $ 1, 000, 000 — GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE POLICY LIMIT APPLIES PER: PRO- LOC X I IFCT PRODUCTS - COMPIOP AGG $2,000,000 $ A I AUTOMOBILE LIABILITY �IANYAUT AUTOS NED 1 SCHEDULED L UTOS II NON OWNED HIREDAUTOS FX AUTOS BAP931935500 COMBINED SINGLE LIMIT (Ea acaoem) __ BODILY INJURY (Pa Person) $. 1, 000,000 S BODILY INJURY (Pca¢idenl) $ PROPERTY DAMAGE (PeraecXKnlL $ Is B X UMBRELLA LIAB EXCESS LIAR X� OCCUR CLAIMS MADE BE23465094 it/O1/1 11/01/12 EACH OCCURRENCE S 10,000,000 AGGREGATE $ 10,000,000 —DE.7X7 RETENTION310,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERNEMSER EXCLUDED? N IMandatory In NH) If yes, describe uMer DESCRIPTION OF OPERATIONS below NIA 2321400 10/01/1 30/Ol/12 X WC STATU- IIOTH- —.?ORYLIMIT3 —1_ER EL EACH ACCIDENT $ 500, 000 - — E L DISEASE - EA EMPLOYES - - $ 500, 000 E.L. DISEASE - POLICY LIMIT � - $ 500, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUech ACORD 101, Additional Ramwka 30aduM, 11 mon space la ra9ui,ed) Certificate Holder is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. A Waiver of Holder on the General Liability and Workers Compensation Policies, if returied by written contract or agreement subject to the policy terms and conditions. conditions. l,/ .be I- 1.Ivn HE: Work Order# H-WRF. 2004-1 Daft Odor Control. - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 Went La Porte Ave. AUTHORIZED REPRESENTATIVE P.O. Box 580 / A Fort Collins, CO 80522 I USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD mrkorua 23565251 W