HomeMy WebLinkAboutKRISCHE CONSTRUCTION INC - INSURANCE CERTIFICATEY52dM12tlIXlI
A� o®
ATE (MMIDDNYYY)
°06/25/2014
CERTIFICATE OF LIABILITY INSURANCE
06/IS/2016
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: H the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. N 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 endorsement(s).
PRODUCER 1-303-536-6567
DUI Inc. - Colorado D1v161W
CONTACT
NAME:
_
PHONE FAX
WC- NO w:—. AF.NoI:
1705 17th Street
Suite 100
E�AIL
ADDRESS,den amBJmacorD•com
D
._
Denver, CO 80202
INSURERIS) AFFORDING COVERAGE
NAICe
INSURER A: WISTFIBLD INS CO
26112
INSURED
arische Construction, Inc.
INSURER a: PINNACOL ASSOR
61190
INSURER c: EDRICN A1®i IN9 CO (PSOnscol)
16535
INSURER U:
605 Weaver Park Road
INSURER E:
Longmont, CO 80501
INSURER F:
COVERAGES CERTIFICATE NUMBER: 40395499 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.
e15n
VTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY
POLICY EFF
(MMIDDIAM
POLICY EXP
IMWDDNYYnLIMIT
k
GENERAL LYBaITY
CNM6404291
07/01/1
07/01/15
EACH OCCURRENCE
$ 1,000,000
E CAMMERCNL GENERAL 11ABILf1Y
CLAIMS -MADE Fi-I OCCUR
GE TO RENTED
PREMSES opurreire
S 500,000
MEDEXP(A .,,erson)
$ 10,000
E PD Ded:$2,500
PERSONAL S ADV INJURY
f 1,000,000
GENERALAGGREGATE
$ 2,000,000
GENI AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$2,000.000
PWCY
E PRO- E JFCTLOC
S
A
AIROMONLE
UABIUIY
CMU6404291
COMBINED SINGLE LIMIT
Ea a.Jd.Ifl
11,000,000
eODILYINIURY(P.parson)
$
ANY AUTO
Ix
ALL OVMED SCHEDULED
AUTOS AUTOS(
SODILYINJURV P.aaid.0
)NON-0
S
ED
HIRED AUTOS H AUTOS
PROPERTY DAMAGE
Per ant
S
S
A
E
UMBRELUUAB
E
OCCUR
CHN6404291
07/01/1
07/01/15
EACHOCCURRENCE
S 51000,000
AGGREGATE
$ 5,000,000
EXCESS LAB
CLAIMSd1ADE
DED I I RET
IS
B
C
WORKERS COMPENSATION
IA
ANDEMPLOYERS'LBILITY
ANY PROPRIETORIPARTNEUEXECUDVE YIN
OFFICERIMEMBEREXCLUDED9 N
NIA
4058925
663298103-AS,CA,NH,NV,OR
07/O1/1
07/01/1
07/OS/15
07/01/15
STATU-OTH-
E WCUNTS
E.L. EACH ACCIDENT
S 1,000,000
E.L.DISEASE-EAEMPLOYE
S 1,000,000
(MWdMwy1n NH)
Iyes,&ns UM
DESCRIPTION OF OPERATIONS Iebx
E.LDISEASE-PODUGYLIMIT
S 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AIapN ACORD 101, AddN R. SCI , InNVaaPaoa N npukMn
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Box 500 AUTNORUD REPRESEWATWE. /J
t Collins, CO 80522//,�i�
Usk
01988.2010 ACORD CORPORATION. All riahts reserve
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w
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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40395499