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HomeMy WebLinkAboutL R CONTRACTING INC - INSURANCE CERTIFICATELRCON-1 OP ID: SH 14`4C,.41C)PH "' CERTIFICATE OF LIABILITY INSURANCE DAT12/21DIYYYY) 2/21/12 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 Phone:303-996-7801 CRS medal ce Risk Solutions Fax: 303-757-7719 Commercial Risk Solutions DBA 6600 E. Hampden Ave. Denver, CO 80224 CONTACT NAME: PHONE -- FAX aC No Eft; ac No: E'AIL ADDRESS: ----- Nathan M. Fonseca INSURERS AFFORDING COVERAGE NMC 0 INSURER A: Landmark American Ins. Co. INSURED L R Contracting Inc. INSURER B: Plnnacol Assurance 10270 Rotherwood Circle Highlands Ranch, CO 80130 INSURER C: INSURER D : INSURER E : INSURER F: NO COVERAGE WITH CRS 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-1 OCCUR LHA108763 09/20112 09/20113 EACH OCCURRENCE $ 1,000,00 PREMISES Ee..nce $ EXCLUDE MED EXP (Any one Person) $ EXCLUDE PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1XI PRO C I LOD PRODUCTS - COMP/OP AGO $ 2,000,00 $ F AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS NO COVERAGE WITH CRS COMBINED SINGLE LIMIT (Ea accdent $ NO COVERAGE BODILY INJURY (Per Person) $ NO COVERAGE BODILY INJURY (Per accident) $ NO COVERAGE PROPERTY DAMAGE Per accident $ NO COVERAGE E F UMBRELLA JAB EXCESS UAB OCCUR CLAIMS -MADE NO COVERAGE WITH CRS EACH OCCURRENCE $ NO COVERAGE Ll AGGREGATE $ NO COVERAGE DED RETENT I I S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFiCEMAEMBER EXCLUDED? FY] (Mandatory In NH) If yea, des«ice vender DESCRIPTION OF OPERATIONS below N / A 4144776 01/01/13 01/01/14 X WC STATU- OTH- E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ANech ACORD 101, Additlonal Remerke Schedule, If more space la regaired) All policy terms, conditions and exclusions apply. CIFORTC City of Fort Collins P.O. Box 580 Fort Collins, CO 80526 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD