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HomeMy WebLinkAboutCOLORADO SASH & DOOR INC - INSURANCE CERTIFICATE (4)COSAS-1 OP ID: P6 CERTIFICATE OF LIABILITY INSURANCE DAT12101 tz/ovD/YYYY) la 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 endorsements . PRODUCER Phone: 970-482-7747 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 - Fax: 970-484-4165 FortCollins, CO 80525 House Account CONTACT N: PHOAMENE FAX E� � A/C No pjAl�o ADDRESS: INSURERS AFFORDING COVERAGE NAIC I INSURER A: AMCO Insurance Com an 19100 INSURED Colorado Sash & Door, Inc Box 270682 P. Fort Fort Collins, CO 80527 INSURER B: Allied Property and Casual 42579 INSURER C:Pinnacol Assurance Com an P Y 41190 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATF NI IFARFR- _____ mumocra: 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. I�TR TYPE OF INSURANCE D MD POLICY NUMBER POLICY EFF MNIDD/YVYV POLICY EXP MM/DD/YYYY OMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X I Business Owners X ACP7544152079 12108/14 12/08115 EACH OCCURRENCE § 1,000,00 PREMISES Eaccw ence $ 300,00 MED EXP (Any one person) § 6,00 PERSONAL BADV INJURY E 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO- 171 LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS - CP7644152079 12/08114 12/08/15 COMBINED SINGLE LIMIT Ee accident $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS P AUTOS PROPERTY DAMAGE Per accident $ E 1 A X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE 44 ACP75152079 12/08114 12/08/15 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DED I X I RETENTION$ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ❑ NIA 4024240 06/01/14 06/01/16 WCSTATU- OTH- X E.L. EACH ACCIDENT E 500,00 IMentletoryln Under ( yes, describe in under ` E. L. DISEASE - EA EMPLOYEES 500,00 E.L. DISEASE - POLICY LIMIT S 500,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is mRulred) Certificate holder is included as additional insured if required by written contract for ongoing projects in policy form PB0448 11/14 UTILFTC City of Fort Collins Utility Department 700 Wood St. Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rinhlR msor.. d AI.UKU ZS (ZU1U/U5) The ACORD name and logo are registered marks of ACORD