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HomeMy WebLinkAbout101137 PINKARD CONSTRUCTION - INSURANCE CERTIFICATE (3)PUNX)2 mR
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ACORbr CERTIFICATE OF LIABILITY INSURANCE
o9 2l/3on
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. N SUBROGATION IS WANED, 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 endomemen s).
PRODUCER 1-303-534-4567
C NTACT
NAME:
DOA, Inc. - Colorado Division
_
PHONE FAK
AC No:
E4dAl
EODu$$: denpamgimacorp•Com
1705 17th street
IMSU S AFFORona COVERAGE
xAIC0
Suite 100
INSURER A: ZURICH ANKH INS CO
16535
Deaver, 00 80202
INSURED
INSURERS: ANBRICAH GUAR A LIAB IHS (Zurich N.
26247
Pickard Constructive
INSURER CPIHHACOL ASSUR
41190
INSURERER RD:
9195 West Gth Avenue
NSUE:
1 INSURER F:
Lakewood, CO 80215
COVFRArrFS CFRTIFICATF NIIMRFR- 41523899 RFVISION NUMRFR-
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.
WS
LIR
TYPE OF INSURANCE
pl
BUSR
PoLILY NUMBER
POLICYEFF
YYAT
P000YEKP
Ym
MYRS
A
X
COYYERCULLGENERAL LMBaITY
OL0931935602
11/01/13
11/01/14
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE Z OCCUR
DAIM
PREMISES Eeamnerce
i 300,000
X
MED EXP(AM . peam)
$ 5.000
$5,000 Deductible
PERSONALaADVINNRY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2.000,000
POLICY JET LOC
PRODUCTS - COMPIOP AGG
$2,000,000
$
OTHER:
A
AUTOMOenE LIABILITY
BAP931935502
11/01/13
11/01/14
COMBINED SINGLE LIMIT
Ea ealdant
$ 1.000,000 _
BODILYINIURY(PWPassn)
$sALL
ANY AUTO
OWNED SCHEDULED
AUTOS AUTOS
Ix
BODILY INIURY(Pw acent)$
PROPERTY DAMAGE
$
NON -OWNED
HIREDAUTOS H
B
X
UMEIRELLALMS
X
OCCUR
AUC583445201
11/01/13
11/01/14
EACHODCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
EXCESS LUNG
CLAIM&MADE
DED I X I RETENTION$ 0
$
C
WORKERS COMPENSATION
AND EMPLOYERS' MOIL" YIN
ANY PROPMETORI➢ARTNERIEXECUTIVE
OFFICERMEMBER EXCLUDED?
(YandR qIn NMI
NIA
2321400
10/01/14
10/01/15
I PER UT ER
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
$ 500,000
Ilyyeeaa descilwuMw
DESLRIPPON OF OPERATIONS pebY
E.L. DISEASE - POLICY LIMIT
$ 500,000
DESOWPININ OF OPEMBONS I LOC111N1MS l VEHICLEa (AGORm 101, Am1UWw RseuukF SCIwduM, nuy M sUArMO Nmon sOsn 4 ngvh�
Certificate Holder is included as Additional Insured on the General Liability Policy if required by written contract or
agreement and with respect to Work performed by Insured subject to the policy terms and conditions. A Waiver of Bolder
on the General Liability and Workers Compensation Policies if required by written contract or agreement subject to the
policy terms and conditions. conditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ty of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1 H. College Ave AUTHORIZED REPRESENTATNE
0. BaK 580 [ ,T
rt Collins, CO 80522-0580
USA
01988-2014 ACORD CORPORATION. All rights reserved
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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41523099