HomeMy WebLinkAboutCOLORADO GREENHOUSE CONSTRUCTION LLC - INSURANCE CERTIFICATE (2)ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE IMM11I06/2014 YY)
12014
PRODUCER
Pinnacol Assurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
7501 E Lowry Blvd
Denver, CO 80230-7006
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Colorado Greenhouse Construction LLC
INSURERA: Pinnacol Assurance
41190
INSURERS:
4165 West Meadow Drive #2275
INSURER C'.
Colorado Springs, CO 80906
INSURER D'.
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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.
INSR
ADO'L
I
POLICYEFFECTIVE
POLICYEXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICY NUMBER
DATE(MWDWYYYY)
DATEMMIDDNYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PREMISES
MERE% An onepersbn)
PERSONAL A ADV INJURY
GEN'L AGGREGATE LIMIT APPLIERS PER
GENERAL AGGREGATE
POLICY ❑ PROJECTLOL
PRODUCTS OOMPIOPAGG
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea ACCidenl)
BODILY INJURY
ALL OW NED AUTOS
SCHEDULED AUTOS
)Per person)
BODILY INJURY
HIREDAUTOS
NON-OWNEDAUTOS
(Per accidenll
PROPERTY DAMAGE
I PeraccWenp
GARAGE UMBILITY
ONLY - EA ACCIDENT
�AUTO
THER THAN Ep ACC
ANYAUTO
.0 ONLY: AG
E%CESSNMBRELLA UABILDY
OCCUR 0 CLAIMSMADE
EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
WC ETATU- OTHER
A
EMPLOYER'S LIABILITY
ANY PROPRIETORIPARTNEWEXECUTIVE
4178078
10/28/2014
11101i2015
TORY LIMITS
E LEACX ACCIDENT
$100.000
OFFICER/MEMBEft EXCLUDED?
E.L DISEASE - EA EMPLOYEE
$100,000
IF yes, Pleasedescobeund-SPECIAL PROVISIONS below
E.L DISEASE -POLICY LIMIT
$500000
OTHER
1
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESR:XCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Waiver of Subrogation applies and may be mailed separately.
CERTIFICATE HOLDER
CANCELLATION
1568809
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Doug Clapp - Senior Buyer
P.O. Box 580
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Fort Collins, CO 80522
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
Shea Roth -Nelson
ACORD 25(2001I08)
New Business Representative ACORD
CORPORATION 1988