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HomeMy WebLinkAboutASPEN HEIGHTS CONSTRUCTION LLC - INSURANCE CERTIFICATEClient#: 99381 14ASPENHEI ACORD,. CERTIFICATE OF LIABILITY INSURANCE D 1 7/21/2IDDIYYYY) n2v2o1a 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 INSURERjS), 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 endorsemengs). PRODUCER CONTACT NAME: Shelia Moore, CIC Wortham Insurance & Risk Mgmt. PNONE 512 453-0031 AX Arc No Ea<: , No): 512 453-0041 221 West 6th Street, Suite1400 ADDRESS: shelia.moore@worthaminsurance.com Austin, TX 78701 INSURERISI AFFORDING COVERAGE NAICA 512 453-0031 INSURER A: Ironshore Specialty Insurance C 25445 INSURED INSURERS: Starr Indemnity 8, Liability Corn38318 Aspen Heights Construction, LLC INSURER C: Hallmark Specialty Insurance Co Merck Contracting, LLC 1301 S. Capital of Texas Hwy, Ste B-201 INSURER D: Austin, TX 78746 INSURER E: INSURER F 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. RR TYPE OF INSURANCE ADDLSUBR NSR MD POLICY NUMBER MMIDD1YEYVV MMIODDY/YY%Y LIMITS A GENERAL LIABILITY AGS0005403 7/19/2014 07/19/201 EACH OCCURRENCE S11,000,000 X COMMERCIAL GENERAL LIABILITY REM' RdauENTED Eanence $60000 CLAIMS -MADE 51OCCUR MED EXP (Any one person) s5 000 PERSONAL B ADV INJURY $1000000 X BI/PD Ded:5,000 GENERALAGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $2,000,000 POLICY PR6 IECTLOB E C AUTOMOBILE LIABILITY TXH60321701 7/19/2014 07/191201 COMBINED SINGLE LIMIT Ea acdeem $1,000,000 BODILY INJURY (Per person) E ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS N BODILY INJURY (Peraccdent) $ DAMAGE Par accident E HIRED AUTOS X 'ONOWNEDPROPERTY AUTOS S B I UMBRELLA LIAB OCCUR 1000021111 7/19/2014 07/19/201 EACH OCCURRENCE $10 000 000 AGGREGATE $1000O 000 )( EXCESSLIAB X CLNMSMADE DED RETENTION E E WORKERS COMPENSATION N/C STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED' ❑ NIA ER E.L. EACHACCIDENT E E.L. DISEASE - EA EMPLOYEE E (Mandatory in NH) If yes, desmbe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS DeIow I DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (AVach ACORD 101, Additional Remarks Schedule, it more space Is required) The General Liability policy includes a blanket additional insured endorsement that provides additional insured status to the certificate holder when there is a written contract between the named insured and the certificate holder requiring additional insured status. Project: Aspen Heights Construction, LLC, Ft Collins, CO The General and Auto Liability Policy includes a blanket notice of cancellation to certificate holders (See Attached Descriptions) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 LaPorte Ave ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 680 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD #S475790/M475614 14SXM DESCRIPTIONSt(Coiit'inued fromPage 1t)u I endorsement, providing for 30 days advance notice if the policy is cancelled by the company other than for nonpayment of premium, 10 days notice after the policy is cancelled for nonpayment of premium. Notice is sent to certificate holders with mailing address on the file with the agent or the company. The endorsement does not provide for notice of cancellation if the named insured requests cancellation. SAGITTA 25.3 (2010/05) 2 of 2 #S475790/M475614