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HomeMy WebLinkAboutL R CONTRACTING INC - INSURANCE CERTIFICATE (6)LRCON-1 OP ID: MRT ACORO" CERTIFICATE OF LIABILITY INSURANCE DA12122/2 Y /014 12/224 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 CRS Insurance Brokerage Commercial Risk Solutions DBA CONTACT Nathan M. Fonseca NAME PHONE FAx = Na Exl : 303-996-7801 Arc No : 303-757-7719 EWAIL . ADDRESS: 6600 E. Hampden Ave. Denver, CO 80224 Nathan M. Fonseca INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Pinnacol Assurance INSURED L R Contracting Inc. INSURER B: Landmark Insurance Co. 10270 Rotherwood Circle Highlands Ranch, CO 80130 INSURER C : INSURER D INSURER E : INSURER F: NO COVERAGE WITH CRS COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE A POLICY NUMBER MDI MO]DYIYYYY MM /DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CIAIMS-MADE FX7 OCCUR LHA109868 09/20/2014 09/20/2015 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Eaoccurrence $ EXCLUDE MED EXP (Any one person) $ EXCLUDE PERSONAL B ADV INJURY $ 1,000,0001 GENT AGGREGATE LIMIT APPLIES PER: POLICY O PEA LOC OTHER: GENERALAGGREGATE $ 2,000,00 PRODUCTS - COMPIOP AGG $ 2,000,00 S F AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NONOWNEDPROPERTY HIREDAUTOS AUTOS NO COVERAGE WITH CRS COMBINED SINGLE LIMIT Ea amdent g NO COVERAGE BODILY INJURY (Par person) $ NO COVERAGE BODILY INJURY (Per acadent) $ NO COVERAGE DAMAGE Peraccilent $ NO COVERAGE F UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE NO COVERAGE WITH CRS EACH OCCURRENCE $ NO COVERAGE AGGREGATE $ NO COVERAG DED RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORRARTNERIEXECUTIVE Y/N OFFICER/MEMBER EXCLUDED9 FV_1 (Mandatory In NH)' - It yes, Cesvibe muter DESCRIPTION OF OPERATIONS below N/A 4161775 01/01/2015 01/01/2016 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE S 100,00 E.L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may W altacNsd If Moro spa Is r UII Klj All policy terms, conditions and exclusions apply. CIFORTC City of Fort Collins P.O. Box 580 Fort Collins, CO 80526 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 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD