Loading...
HomeMy WebLinkAbout467727 DRAHOTA COMMERCIAL LLC - INSURANCE CERTIFICATE (11)ACORDrt, CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE I z/31/zo14 DATE 6/26//26/2014 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 endomement(s). PRODUCER Lockton Companies 8110 E Union AvenueIk Stilts 700 Denver CO 80237 (303)414-6000 4ulINSURERIS) CONTACT N M a No Eft): FAX ac No E-MAIL AFFORDING G c INSURER A: Darwin National Assurance Company 16624 INSURED Drahota Commercial, LLC 1054659 PO Box 272269 Fort Collins, CO 80527 INSURER B: Plnnacol Assurance INSURER c: Navittators Insurance Company 42307 Denositors Insurance Company 42587 INSURER F Cr1VFRArgFS IIRAro f)l CFRTIFICATF NIIMRFRr 7676645 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. INSR TR TYPE OF INSURANCE AD L SUB POLICY NUMBER POLICY EFF POLICCY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1 OCCUR N N 03087571 12/31/2013 12/31/2014 EACH OCCURRENCE 1000000 DAMAGE O RENTED PREMI a olrtence 300 DDD MED EXP An one rmn 10,000 PERSONAL B ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO OT X❑ LOG OTHER GENERAL AGGREGATE $Zo0D000 PRODUCTS - COMP/OP AGO $ 2 000 000 $ D AUTOMOBILE LIABILITY ANY AUTO ALL OrED SSCHEERULED AUTO HIRED AUTOS X AUTOS ED N N ACPBAPD3006435104 12/31/2013 12/31/2014 Ea COMBINEDNSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXxx BODILY INJURY (Per acddent $ XXXXXXX X GE PROPERTY DAMAGE $ XXXXXXX $ XXXXXXX C UMBRELLAUAB EXCESS LIAB X OCCUR CLAIMS -MADE N N SEI3EXC7418871V 12/31/2013 12/31/2014 EACH OCCURRENCE $ 5,000,000 J{ AGGREGATE $ 5,000,000 DECT I RETENTIONS $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICEMBER 0PET0PJEARTNED4ECVrIVE (Myrmcn., In NH) If DESCRIPTON OF OPERATIONS telex N/A N 2286970 7/1/2014 7/1/2015 PER OTH X STATUTE E.L. EACH ACCIDEW $ 1000000 E.L DISPASE-EA EMPLOYEE 1000000 E L. DISEASE - POIICV LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD lot, Additional RemaMe Schedule. my be attached If mom space Is required) P1123 General Contractor for Fire Station Expansion and Renovation Projects. 3636645 City of Fort Collins Financial Services - Purchasing Division 215 N. Mason Street, 2nd Floor P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. C Thu Ar.nRn .ann. and Inns aw roninfurod ,nerlru of arinRn