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HomeMy WebLinkAboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE 5/12ot4 TE °"9/23/2 13 9/23/2013 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(les) must he 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 endoreement(s). PRODUCER Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303)414.6000 CONTACT INC,AM FAX No Ex AC No E-MAIL ADDRESS AFFORDING INSURERA: Vallev Forge Insurance Coman 2050 INSURED The Bauen Corporation 1034102 801 E. 52nd Ave. Denver, CO 80216 INSURER B : Continental Casualty Companv 20443 INSURERC: Pinnacol Assurance Com anv 41190 I The Continental Insurance Com am 352 9 INSURER F COVERAGES RAI TC003 CERTIFICATE NUMBER' 1991907 REVISION NUMBER: XXXXXXX 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. IN R TYPE OF INSURANCE AD L R POLICY NUMBER P L%C FF PO I YEXP INIM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR N N 4021109791 5/1/2013 5/I/2014 EACH OCCURRENCE s 1000000 PRE ET REoccuNTED 100000 MED EXP (Any one Persom S 5,000 PERSONAL a ADV INJURY If 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO, PRODUCTS - COMPIOP AGG $ 2000000 $ D AUTOMOBILE LIABILITY ANY AUTO AL SUHEOULED HIRED AUTOS X AUT�INED N N 4021110598 5/1/2013 5/1/2014 COMBINED SINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ yy)OCYM BODILY INJURY (Per accident $ XXXXXXX X PerraccidenDAMAGE $ XXXXXXX $XXXXXXX B }( UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE N N 4021109807 5/1R013 5/1/2014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION$ s XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORRPARTNEIVE)(EOLMVE OFF(CERIMEMBER E CLUDEW N IManOWory In NH) DESCRIPTION OF OPERLTIONe Eebv NIA N 2127630 ID/IY2013 10/1/2014 STATU- OTH- X T Y MIT E.L. EACH ACCIDENTS 1,000,000 E.L. DISEASE. EA EMPLOYEE s 1000000 E.LDISEASE POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I(Anach ACORD 101, Additional Remarks Schedule, if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THL EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1991907 City of Fort Collins P.O. Box 580 Fort Collins CO 80522 Amon n i9nlnmRl n 1OR12010 ACORD CORPORATION. All rights reserved The ArnOn name o 4 Inn am m..:NnrnH maLo of ACr1Rr1