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HomeMy WebLinkAbout201461 CONSTRUCTION CONCEPTS INC - INSURANCE CERTIFICATE (6)ACORD CERTIFICATE OF LIABILITY INSURANCE M DATE(M/Y MIDDYY) 09/22/2014 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 endorsement(s). PRODUCER Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 CONTACT NAME: Karole Peters PH ONEE.:970.679.7355 ac,Nn:866.237.2178 A oREss: karole-peters@leavitt.com INSURER(S) AFFORDING COVERAGE NAIC If INSURER A: Cincinnati Insurance Co 10677 INSURED Construction Concepts Inc �% 14125 Mead Street ✓ o 144 Longmont, CO 80504 INSURER B: Pinnacol Assurance 41190 INSURER : Atlantic Specialty Insurance 271.54 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 14-1S ALL 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. LTR TYPE OF INSURANCE INSR MD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABILITY CLAIMS -MADE FX7OCCUR X Bl kt Addl Insured EPP016236 10/01/2014 10/01/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 500,00 MED EXP (my one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,0001 X Blkt Waiver of Sub GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY T JPEC0j LOC PRODUCTS - COMPIOP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL AUTOS OWNED gUTOSULED X HIRED AUTOS X NOON -OWNED HIRED AUTOS N AUTOS EPP016236910/01/2014 10/01/2015 Ea,woen, $ 1,000,00 BODILY"JURY(Par person) $ BODILY INJURY (Per accident) $ Peraccdent $ 8 A J( UMBRELLA LMB EXCESS DAB X OCCUR CLAIMS -MADE EPP0162368'10/01/2014 10/01/2015 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,000 DEO I X I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OF ICER/MEMBER EXCLUDED? ECUTIVFQ (Mandatory In NH) If yes, desodbe under DESCRIPTION OF OPERATIONS below NIA 40317450710112014 07/01/2015 X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 C ommercial Builders Risk Reporting Form 790-01-03-05-0003!10/01/2014 10/01/2015 $1,500,000 any one structure $1,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division AUTHORIZED REPRESENTATIVE /�KL 21S N. Mason Street 2nd Floor Fort Collins, CO 8OS24 Karole Peters/KAPETE ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD