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HomeMy WebLinkAboutL R CONTRACTING INC - INSURANCE CERTIFICATE (4)LRCON-1 OP ID: SH ,dâ–ºlle z CERTIFICATE OF LIABILITY INSURANCE DATE 2/1812013 Y) 12/1812013 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 CRS Insurance Brokerage Commercial Risk Solutions DBA CONTACT NAME: PHE CONxo AIX No): 6600 E. Hampden Ave. Denver, CO 80224 SHRILL ADDRESS. Nathan M. Fonseca INSURE E AFFORDING COVERAGE MAID INSURER A: Landmark American Ins. Co. _ INSURED L R Contracting Inc. INSURER a:PinnacolAssurance 10270 Rotherwood Circle Highlands Ranch, CO 80130 INSURER C: INSURER D : INSURER E INsueEe 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. ILTR NSR TYPE OF INSURANCEjaijffia POLICY NUMBER POLICY Y UP M IDODIYYY1f WITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR LHA109308 0912012013 09120/2014 EACH OCCURRENCE $ 1,000, PREMISES S EXCLUDE MED UP (Any om, non) a EXCLUDED. PERSONALS ADV INJURY $ 1,000,00 GENERALAGGREGATE S GEN'L AGGREGATE POLICY LIMIT APPLIES PER'. PR0. LOC X JECT PRODUCTS-COMPIOP AGO $ 00,00 ;2,000, S7ANYEAuATo F LMINLITYCOMBINED EDSCHEDULED AUTOS NO COVERAGE WITH CRS SINGLE LIMIT Ea acdtlaM CERAG BODILY INJURY(Per Penon) 3 NO COVERAG BODILY INJURY(Per saxlenl) $ NO COVERAGNONOWNED PROPERTY PERA ID s NO COVERAGUTOS $ F UMBRELLA LIAR EXCESS LIAe OCCUR CWMS-MADE NO COVERAGE WITH CRS EACH OCCURRENCE 3 NO COVERAGE AGGREGATE S NO COVERAGE DED I I RETENTION$ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE Y© OFFICERNEMBER EXCLUDEDT (Mergetory In NH) N yw, dv.cd under DESCRIPTION OF OPERATIONS o Im MIA 161775 01/01/2014 01101/2015 X WC STATU- OTH- E.L EACH ACCIDENT $ 1001 E.L. DISEASE - EA EMPLOYE $ 100,00 E.I DISEASE - POLICY LIMIT S 600,00 DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (Atbch ACORD 101, AddMonal Remarks Schedule, If more apace Is nqulmd) 1 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. AUTHORZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD