HomeMy WebLinkAboutHILLSIDE CONSTRUCTION INC - INSURANCE CERTIFICATE (2)Client#: 34730
HILLCON
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
3/31/2014
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 pollcy(les) 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 endorsementls).
PRODUCER
IMA, Inc. - Colorado Division
1705 17th Street, Suite 100
Denver, CO 80202
303 534-4567
INSURED
Hillside Construction Inc
216 Hemlock St, Suite 216
Fort Collins, CO 80524
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 CONTRACTOR 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.
LTR
TYPE OF INSURANCE
ADOL
SUBR
POLICYNUMSER
MMIDD E
Y UP
MWODM
LIMITS
A
GENERAL. LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 7XI OCCUR
CWP5761087
D410112014
04101j201 a
EACH
E1 000000
ESCL1HA pOECCTURRENCE
p
PREMISEa accu ...
E500 060
MEDEXP one person
E15000
PERSONAL S ADV INJURY
E1000,000
GENERAL AGGREGATE
s2,000,000
GENIAGGREGATE
POLICY
LIMIT APPLIES PER
Me- LOC
PRODUCTS - COMP/OP AGG
52,000,000
E
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS AUTO QED
COMBINED SINGLE LIMIT
Me accident)
BODILY INJURY (Per person)
$
BODILY INJURY(Peramldeld)
E
PROPERTY DAMAGE
E
E
UMBRELLA LIAR
EXCESS DAB
OCCUR
MADE
EACH OCCURRENCE
E
AGGREGATE
$
DED RETENTIONS
E
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY
ANY
ICERIMEMBER EXCLUDEDT ECUnVE7
(Mandatary In NH)
I(yee desobstax!
DESCRIPTION OF OPERATIONS below
MIA
WC STATLL OTH-
E.L. EACH ACCIDENTEp
S
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY OMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD tat, Additional Remarks Schedule, If more space is required)
City of Fort Collins
PO Box 580
Fort Collins, CO 80522-0580
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
U 191113-20U ACUKU CUKPUKA I ION. All rights reserved.
ACORD 25 (2010/05) 1 of 1
#S10115861M1011302
The ACORD name and logo are registered marks of ACORD
NMC