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HomeMy WebLinkAboutCHRISTOFFERSON COMMERCIAL BLDR - INSURANCE CERTIFICATE30040 A�� �® CERTIFICATE OF LIABILITY INSURANCE DATEn 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 Commercial Lines - (719) 592-1177 Wells Fargo Insurance Services USA, Inc. 5755 Mark Cabling Blvd., Suite 300 CONTACT Amber Keller NAME: PHONE FAX Exii. 800-332-9256 C10twe Nm: 877-0OS-9032 -AWLr ADDRESS: INSURERS AFFORDING COVERAGE NAIC d INSURERA: Continental Insurance Company 35289 Colorado Springs, CO 80919-2228 INSURED Christofferson Commercial Bldr INSURER B: American Casualty Company of Reading, PA 20427 Continental Casual C msuRERc: Casualty Company P Y 20443 3235 Fillmore Ridge Heights INSURERD: Pinnacol Assurance Company 41190 INSURERE: Texas Mutual Insurance Company 22945 INSURER F Colorado Springs, CO 80907 COVERAGES CERTIFICATE NUMBER: 7631105 REVISION NUMBER: See below 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 LTR TYPE OF INSURANCE IMsn SUER POLICY NUMBER MPMO/LIDDY EFF MM/DD E%P LIMITS q X COMMERCIAL GENERAL DABILRY CLAIMS -MADE [K OCCUR 4029178419 04/24/2014 04/24/2015 EACH OCCURRENCE DAMAGE TO RENTED PREMISE_S(Ea pccunencel $ 1.000,000 _ $ 300,000 $ 5,000 MED EXP (Any one Person) PERSONAL &ADV INJURY $ 1,00a,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY PRO- JECT �1 T u LOC PRODUCTS-COMP/OP AGG S 2.000.000 S OTHER: B AUTOMOBILE LIABILITY 4029178405 04/24/2014 04/24/2015 COMBINED SINGLE LIMIT Ea ecdGen)___ $ 1,aaa wo x BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S x PROPERTY DAMAGE fear accident $ NON -OWNED HIRED AUTOS N AUTOS f C UMBRELLA LUU1 x OCCUR L4017347948 04/24/2014 04/24/2015 EACH OCCURRENCE S 2,000,000 x AGGREGATE S 2.000,000 EXCESS LIAR CLAIMS#NDE LIED x RETENTION 10,000 S D E ANc MPLOYERS' LIABILITY YIN ON ANY PROPRIETORIPARTNER/EXECUIVE OFFICERIMEMBER EXCLUDED? N (Mandatory In NH) NIA 4042537 (CO) SBP00012644102 0140201(TX 02/01/2014 02/01/2014 02/01/2015 02/01/2015 X STALT.VTE ERA E.L. EACH ACCIDENT $ fODD,000 E.L. DISEASE - EA EMPLOYEE $ 10m,000 I/Tea, desuiDe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000 ,000 A Contractor's Equipment 4029178419 04/24/2014 04/24/2015 100.000 Lease URented Equipment, max value per item DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Addit oral Remarks Schedule, may he aftachad If me. space Is required) Certificate of Insurance City of Fort Collins 281 N College Ave PO 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. 97--4-/- The ACORD name and loco are registered marks of ACORD 01988-2014 ACORD CORPORATION. All rights ACORD 25 (2014101) 111111111111111111111111111111111IN I11111111111111111111111111111111111111111111111111111 �.a�