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Home My WebLink AboutL R CONTRACTING INC - INSURANCE CERTIFICATE (3)LRCON-1 OP ID: SH '4�� ' CERTIFICATE OF LIABILITY INSURANCE - UAT021060/YYYY) 02I06/13 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 INS_URER(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 Insurance Brokerage Fax: 303-757-7719 Commercial Risk Solutions DBA 6600 E. Hampden Ave. Denver, CO 80224 CONTACT NAME: PNONE FAX _ A/C No EXt: - - A/C No: EMAIL - ADDRESS: Nathan M. Fonseca INSURERS AFFORDING COVERAGE NAIC M INSURER A: Landmark American Ins. Co. INSURED > L R Contracting Inc. INSURER B: Plnnacol Assurance 10270 Rotherwood Circle Highlands Ranch, CO 80130 NsuRERc: 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 ADDL SUBS POLICY NUMBER MM/DDY/YYYY MM/ DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR LHA108763 09/20/12 09/20/13 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ EXCLUDE MED EXP (Any one pemon) $ EXCLUDE PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ -2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. O- POLICY X PRLOC PRODUCTS - COMP/OP AGG $ — 2,000,00 $ -' F . AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS NO COVERAGE WITH CRS Ee accidentCOMBINED SINGLE LIMIT $ NO COVERAGE BODILY INJURY (Per person) $ NO COVERAGE BODILY INJURY (Per accident) $ NO COVERAGE PROPERTY DAMAGE Per accident $ NO COVERAG IF UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE NO COVERAGE WITH CRS EACH OCCURRENCE $ NO COVERAGE AGGREGATE S NO COVERAGE DEC RETENTION $ $ - B W ORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? F—Y] (Mandatory In NH) If re, describe under DESCRIPTION OF OPERATIONS below NIA 4161775 01/31/13 01/01/14 X WC$TATU- OIS F TH- E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE_- EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom specs Is required) 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 /J 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD