HomeMy WebLinkAbout479201 HEATH CONSTRUCTION - INSURANCE CERTIFICATE (7)Y511AYILMUl
,acoRo® CERTIFICATE OF LIABILITY INSURANCE F
D l211/1o/001IDOrvYzolaYYI
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
PRODUCER 1-JUJ-S]4-9501
IMA, Inc. - Colorado Division NAME:
PHONE IFAX
(AIC, No, EXIT: I(AID, No):
1705 17th Street EMAIL den amPiloaco coo
ADDRESS: D r .
Suite 100
Denver, CO 80202 INSURER(5) AFFORDING COVERAGE NAIL$
INSURERA: PHOENIX INS CO(Travelers) I25623
INSURED INSURERS: TRAVELERS IND CO I25658
Heath Construction, LLC
INSURER C: AMERICAN GUAR h LIAB INS(Zudich North AM416247
PO Drawer H INSURER o: ZURICH AVER INS CO (Pinnacol Assurance)I 16535
Port Collins, CO 80522 INSURER E: PINNACOL ASSUR 41190
INSURER F
COVERAGES CFRTIFICATE NIIMRFR- 42285385 REVISION NIIMRFR-
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 'ADOLSUBRICXP
LTR POLICY NUMBER UFOL.1CYEF1
TYPE OF INSURANCE DIYYYY MMIDOYIYYYY LIMITS
A
GENERAL LIABILITY
DTC0325D325APHX14
04/30/14
04/30/151EACH
OCCURRENCE
'S2,000,000
X COMMERCIAL GENEMLLIABILITY
DAMAGE TO RENTED
PREMISES(Eaoccurrence)
$ 300, 000
(CLAIMS -MADE IX IOCCUR
MED EXP(Any one person)
$10,000
PERSONAL& ADV INJURY
$2,000,000
i
GENERAL AGGREGATE
1 4, 000, 000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGO
$4,000,000
I X I PRO (
I
POLICY LOC
E
B
AUTOMOBILE LIABILITY
DT810325D325AIND14
04/30/14
04/30/151
COMBINED SINGLE LIMIT
(Ea acnden)
S 1,000,000
X ANY AUTO
BODILY INJURY (Per yerson)
S
ALL OWNED SCHEDULED
BODILY INJURY (Peraagenl)I$
AUTOS AUTOS
A ED
X
PROPERTY DAMAGE
PERTaccra
HIRED AUTOS AUTOS
AUTOS
(per nQ
$
C
X
UMBRELLA LLEB X OCCUR
AUCS96783906
04/30/14
04/30/151
EACH OCCURRENCE
IS 10,000,000
EXCESS LIAR CLAIMS MADEi
i
I
i AGGREGATE
10, 000, 000
DIEDI RETENTION$
l i
D
WORMERS COMPENSATION
wC969178404 - Other State-
10/O1/14
10/01/151
XI WCSTATu-', OTH
AND EMPLOYERS' LIABILITY IN
TORY IIMITS ER
E
ANY PROPRIETORIPARTNEWEXECUTIVE
3096125 - CO
30/Ol/14
30 /01/15
EL. EACH ACCIDENT S 1,000,000
OFHCERMEMBER EXCUIDEI N
NIA
I
(Mandatory In NH)
I E.L. DISEASE -EA EMPLOYEE $ 1,000,000
II yes, destMe uMer
DESCRIPTION OF OPERATIONS Udow
I E L DISEASE - POLICY LIMIT : E 1,000,000
i
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAnach ACORD 101. Additional Romans Schedule, If more space Is ore ulred)
Contractoxe`License.
of Fort Collins
rectors Licensing
N College Avenue, PO Box 580
Collins, CO 80526
ACORD 25 (2010105)
42285385
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 REPRESENTATWE
USA
cc) igRR_9nin ACnRO CnRPnRATInN All rhshte roeerved
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