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HomeMy WebLinkAboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATE (5)ACORD. CERTIFICATE OF LIABILITY INSURANCE 5/1/2015 DATE(MM/DD/YYYY) 1 9/19/2014 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(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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 CONTACT AM Nhi FAX A/C No Ext : A/C No); E-MAIL ADD INSUREINSURERISI AFFORDINGNAIL INSURER A: ValleV Fore Insurance Compariv 20508 INSURED The Bauen Corporation 1034102 801 E.52ndAve. Denver, CO 80216 INSURER B: Continental Casualty Compairy 20443 INSURERC: Pinnacol Assurance Company 41190 I.N The Continental Insurance Cam an 35289 COVERAGES BAUC003 CERTIFICATE NUMBER: 1991907 REVISION NUMBER: XXXXXXX 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. INSRR TYPE OF INSURANCE ADDL INSD SUER VIVID POLICY NUMBER MMIDDI EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LABILITY CLAIMSAIADE a OCCUR N N 4021109791 5/1/2014 5/1/2015 EACH OCCURRENCE 1000000 DAMAGE PREMISE TO RENTED o¢unence 100,000 MED EXP (Any oneperson) 5,000 PERSONAL a ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYrX JEt° ❑LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMPIOP AGG$2000000 It D AUTOMOBILE LABILITY ANY pAUTO ALTOS NED SCHEDULED HIRED AUTOS X NON -OWNED N N 402110598 5/1/2014 5/1/2015 COMBINEeDSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per Person) $ XXXXXXX BODILY INJURY (Per accident s XXXXXXX X PROPERTY accident) DAMAGE s XXXXXXX $XXXXXXX B )( UMBRELLA LAB EXCESS LIAB X OCCUR CIAIMS-MADE N N 4021109807 5/1/2014 5/1/2015 EACH OCCURRENCE s5000000 AGGREGATE s 5,000,000 DED I I RETENTION $ s XXXXXXX C WORKERS COMPENSATION AND EMPLOYER$ LABILITY i YIN ANY PROPRIETORPARTNERIE%ECUTNE ❑ R/ OFFICEMEMBER EXCLUDED? N IIyMnMory In NH) mdeferniturder DESCRIPTION OF OPERATIONS feel. N / A N 2127630 10/1/2014 10/1/2015 PER OTH X STATUTE El EACH ACCIDENT s 1 000 000 EL DISEASE - EA EMPLOYEE 1000000 EL DISEASE -POLICY LIMIT 1 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. may M attached if mart space is rtquin d) GtH I IFIUA I t HULUtH t:ANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1991907 AUTHORIZED REPRESENTATIVE City of Fort Collins P.O. Box 580 Fort Collins CO 80522 J I ACORD 25 (2014101) 01 8 014 ACORD CORP09ATION. All rights reserved The Acnwn ...,..e Ana loon of ar.nRn