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Home My WebLink AboutPROVIDENT CONSTRUCTION INC - INSURANCE CERTIFICATEA� 19® CERTIFICATE OF LIABILITY INSURANCE AM RAMODNYYY) °06/17/ 014 o6/17na1a 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: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemem. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsemen s . PRODUCER 1-303-534-4567 INA, Inc. - Colorado Division CONTACT NAME: PHONE FAX IAICNP.EaI' ADADOORRESS: danpamBlmacorp.com 1705 17th Street suite 100 Denver, CO 80202 MURERISINITORDMICOVERAW NAIL e INSURER A: CONTINBNfAL INS CO (CIA) 35289 INSURED INSURERS: CONT'HTa7PAL CAS CO (CNA) 20663 Provident Construction Inc. INSURER CPINNACOL AS90A 4L1190 INSUNERD: TRAVBLBRS PROP CAS CO OF ANRR 2567A 1262e X. Heaver Place INSURER E: Centennial, CO 80111 INSURER F : COVERAGES CERTIFICATE NUMBER: 40249765 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 ..iT1 RESPECT. TO WIIICH 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. Lm Lm TYPE"INSURANCE ADCLww POUCYNUNBER MMNCYEFF PMIDDrNP LIMITS A GENERAL UABLLRY 4030406812 07/01/1 07/01/15 EACH OCCURRENCE S 1,000,000 X COMMERCWLGENERALLNBILITY CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Eaoav f 300, 000 MED EXP Any alep $ 5.000 PERSONAL A ADV INJURY f 1,000,000 X PD Dad: $1,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPXOP AGO $2,000,000 POLICY PR LOC X JFCT $ B AUTOMOBLLEIL1IMM 4030406907 COMBINED SINGLE LIMIT Ea 'aem 1,000,000 BODILY INJURY (Pa Penn) $ X ANY AUTO ALLOWNEO SCHE LEO AUTOS AUTOS BODLLV INJURY (Pa ecvOaY) $ PROPERTYDAMAGE Pe eaiEenl $ X X NON-OM7IED HIRED AWOS AUTOS f B X uMaR LAB X occuR 5093395672 07/01/1 07/01/15 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5.000,000 EXCEU CLAWSMAOE LIED X RETENTION 10,000 $ C. WORKERS COMPENSATION ANDEMPLOYERS'LABILITY YIN07/01/1 PROPRIETORNARTNEWEXECU W OFFICERIMEMBER EXCLUDED! N NIA(M.-Im 4076735-COLORADO 07/O1/15 WCSTATU- XANY E.L. EACH ACCIDENT$ 1,000,000 J1OMTH- E.L. DISEASE- EA EM$1,000,000 ry IR NH) II yeteMaIL6 aloe,DESCRIPTION OF OPERATIONS OelOw E L DISEASE - POLIC1 1, GOD, 000 D Leased 6 Rented Equipment QT6600770C134TIL14 07/01/1 07/01/15 Deductible $500 Limit $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANch ACORD 101. Ackl M Re,MM1eS oAo. Nmon rlMa b,pw.Sl 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. n: Ann Chantler O. Box 580 AUTNOR�D REPRESEITATNE / //%% t Colline, CO 80522 / /'& USA 01988-2010 ACORD CORPORATION- All riahts reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD francins 40249765