HomeMy WebLinkAboutHEINTSCHEL CONSTRUCTION INC DBA KESSLER CONSTRUCTI - INSURANCE CERTIFICATEHEINT-1 OP ID: SC
,a►`co�izo CERTIFICATE OF LIABILITY INSURANCE
D 05129114YY)
05/29/14
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 Ileu of such endorsements .
PRODUCER 970-223-1004
Front Range Insurance Group
1100 Haxton Drive Suite 100
Fort Collins, CO 80525
David A. Wooldridge LUTCFAAI
NM1Ep
F"07
C No E AIC No:
EMAIL
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAIC r
INSURERA:Secura Insurance Companies
22543
INSURED Heintschel Construction, Inc
INSURERS: Rock Hill Insurance
28053
d ba Kessler Construction Co
Inc
INSURER c : Pinnacol Assu rance
41190
INSURER D:
5809 Wright Dr
INSURER E :
Loveland, CO 80538
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 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS.
LLTTRR
TYPE OF INSURANCEAUDIim
POLICY NUMBER
fMMfDD1YrM
IMMIDDI
LMITS
B
GENERAL LMBIUTY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OOCCUR
X Professional Liab
_Ma
ENVP003276.02
ENVP003276.02
ENVP00327"2
05/31/14
05131/14
05/31114
05/31/15
05/31/15
05/31115
EACH OCCURRENCE
f 1,000,
PREMISES Ea occurrence
f 100,00
MED EKP (Any one person)
f 5,00
PERSONAL SAOVINJURY
f 1,000,00
X
Contrac Poll L(ab
GENERAL AGGREGATE
f 2,000,00(
GENT AGGREGATE LIMIT APPLIES PER:
RO- LOC
X POLICY PIFCT
PRODUCTS-COMPIOP AGG
f 2,000,00
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
193491
05/31114
05131/15
COMBINED SINGLE L IMIT
Ea acaden[
f 1,000,00
X
BODILY INJURY (Per person)
f
BODILY INJURY (Per accident)
t
X
PROPERTY DAMAGE
Per accident
f
E
UMBRELLA LIAB
EXCESS LMB
OCCUR
CLAMS -MADE
EACH OCCURRENCE
f
AGGREGATE
f
DIED RETENTIONS
f
C
WORMERS COMPENSATION
AND EMPLOYERS' LIABILITYER
ANY PROPRIETORPARTNERIEXECUTIVE YIN
OPPICERMEMBER EXCLUDED? FYI
(Mandston, In NH)
Ir yes. desa,ee.�dor
DESCRIPTION OF OPERATIONS oefow
NIA
156240
06/01/14
06101/15
XI WC M'T- I X OTH-
E L. EACH ACCIDENT
f 500,00
EL DISEPLO ASE-EA EMYEE
f 500,00
E.L. DISEASE. POLICY LIMIT
f 500,00
A
A
Property Section
Equipment Floater
CP3193490
CP3193490
05/31/14
05/31114
05/31115
05/31/15
BPP 45,00
Schad Equ 22,06
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (Attach ACORD 101, A"donal RemarAa SchadWa, if mom apau is rp.lred)
City of Fort Collins
300 Laporte Ave
Fort Collins, CO 80521
CITYOFF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD 25 (2010105)
O 1988-2010
The ACORD name and logo are registered marks of ACORD
reserved.