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HomeMy WebLinkAbout459545 LESONDAK CONSTRUCTION LLC DBA HOMELAND FENC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE si28/2013"' 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 First Mainstreet Insurance, LLC 275 S. Main Street, Suite 100 P.O. BOX 847 Longmont CO 80502 CONTACT NAME: Judith Graham PNONE . (303)776-5122 FAX (303)776-5495 IC E-01AIL graham@firstmainstreet. coal INSURERS AFFORDING COVERAGE NAICk INSURERA.Acuity 14184 INSURED Lesondak Construction LLC, DBA: Homeland Fence 6204 Jack Pine Drive Bellvue CO 80512 INSURER B : INSURERC: INSURER D: INSURER E : INSURER F: COVERAGES- CERTIFICATE NUMBER:13-14 GL 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 TYPE OF INSURANCE ADD L SUER POLICY NUMBER POLICY EFF M POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR L87231 6/24/2013 6/24/2014 DAMAGE TO RENTED PREMISES His occurrence $ 100,000 MED EXP (Any one person $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICYF_J PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlen BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acdtlent ( ) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS DAB CLAIMS -MADE DELI I I RETENTION $ WORKERS COMPENSATION WC STATU- OTH- - ANDEMPLOYERS'UABILITY YIN ANY PROPRIETOR/PARTNERIEXECUDVE OFFICERPAEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) Ifv describe under OYSCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 8mom space is required) City of Fort Collins is named as additional insured in regards to General Liability only with City issued permit. (CB-7028) (970) 221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing John Stevens AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins, CO 80522-0580 Karen Sterkel/KS ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserve. INJULD (201005).01 The ACORD name and logo are registered marks of ACORD