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HomeMy WebLinkAbout441491 ALPINE DEMOLITION - INSURANCE CERTIFICATEA� La CERTIFICATE OF LIABILITY INSURANCE DATE 012012 Y) 04/30/2012 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 endorsement(s). PRODUCER Phone: (303) 972-6633 Fax: (303)9➢2E655 IRG - AFFINITY INSURANCE PARTNERS, LLC 7991 SHAFFER PARKWAY, SUITE 300 LITTLETON CO 80127 CONTACT Danielle PHONENo F.I, (303) 972-6633 Fax (303) 972.6655 F-MAIL dschmelingirgco.com PRODUCERCLSTOMERD 24779 INSURER(S) AFFORDING COVERAGE NAICN INSURED ALPINE DEMOLITION 5790 WEST 56TH AVENUE ARVADA CO 80002 INSURERA Pmnacol Assurance INSURER INSURER INSURER D'. NSURER S INSURERF COVERAGES CERTIFICATE NUMBER: 39175 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, FXCi HSIONS AND CONDITIONS OF SU i MITS SHOWN MAY HAVE PIPPIA PPnI IrPn RY Pain Irv6R ITR TYPE OF INSURANCE ADD'L SUER POLICY NUMBER POLICY EFF POMCYEXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 17 OCCUR EACH OCCURRENCE DAMAGE TO -RENTED MED. EXP(Any one person) _ PERSONAL 8 ADV INJURY 'AGG �_ NIT person) Iccidenl) $ $ $ $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY — PRO- LOC "rT/ $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-0W NED AUTOS $ $ $ $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS WIDE I EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A wORRERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMSER EXCLUDED? LMandam,y In NHl II yee, do`7' a roper DESCRIPTION OF OPERATIONS Le I— NIA 4000961 05/01/12 05/01/13 X we STATU- orH $ E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CEKIII ICAIE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 NOrth Mason Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, Co. 80524 ACCORDANCE WITH THE POLICY PROVISIONS. I AUTNOR12ED REPRESENTATIVE Attention: `:!5 John W. T— e—� rights re; The ACORD name and logo are registered marks of ACORD