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HomeMy WebLinkAboutHUDSON ELEVATOR LLC DBA PEAK ELEVATOR PERFORMANCE - INSURANCE CERTIFICATEClient#: 757990 PEAKELEV ACORD. CERTIFICATE OF LIABILITY INSURANCE D 5/05/2A)DIYYYI /os/zola 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(les) 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 endorsement(s). PRODUCER NAME: Bobbi McGee ' HUB International Ins Svcs Inc HO"N E,,, 720-207-2363AX A C N.: 866-243-0727 112517th Street, Suite 900 E-MAIL ADDRESS: bobbi.mcgee@hubinternational.com Denver, CO 80202 888795-0300 INSURER(s)AFFORDING COVERAGE NAICN INSURER A: Hartford Underwriters Insurance 30104 INSURED INSURERS: National Union Fire Ins Co Pitt 19445 Hudson Elevator LLC INSURER Assurance Company 190 41082 DBA Peak Elevator Performance Group D, Ohio Sec NsuRERo:Ohio Security Insurance Company 24082 5156 W 58th Ave Ste B Arvada, CO 80002 INSURERE: CA License #0757776 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTRR TYPE OF INSURANCE INSR MID POLICYNUMBER MMIDD//YEYYY MM/DOY/YEYXYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR 13UENOJ7134 5/03/2014 05/03/201 OCCURRENCE s1 000000 pEAACC�HH PREMISES EaEONTUErtD nce S300 000 MEDEXP(Any one person) $10000 PERSONAL & ADV INJURY s 1 O0O 000 GENERAL AGGREGATE s3 000,000 GEN'L AGGREGATE • POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS - COMP/OP AGO s3000,000 s D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BAS55563415 5/03/2014 0510312015COMBINED SINGLE LIMIT , Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTYDAMAGE Per accident $ s B UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE BE064845443 5/03/2014 05/03/201 EACH OCCURRENCE , $5 000 000 X x AGGREGATE s5,000,000 DEB X RETENTION$O $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS beb N / A 4173333 5/01/2014 05/01/201 X WCSTArI- OTH- E.L. EACH ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 00O 000 E.L. DISEASE - POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ANach ACORD 101, Additional Remarks Sehedula, If more space Is required) This section intentionally left blank City's Director of Purchase & Risk Management 215 N Mason, 2nd loor Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 'IV ACORD 25 (2010105) 1 of 1 ffQ?RAAnAf /IL17Rd4A99 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD