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HomeMy WebLinkAbout109363 ALLIANCE CONSTRUCTION SOLUTIONS LLC - INSURANCE CERTIFICATE (2)h. O CERTIFICATE OF LIABILITY INSURANCE �� ATE 12/30/2014 D2/30/2014) 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: H 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 endorsement(s). PRODUCER - Moody Insurance Agency, Inc. _ 8055 East Tufts Avenue $tllte lOOO - Denver CO 80237 CONTACT Eileen Munoz NAME: PNONE _ (303) 824-6600 FAAiCX No: (303)370-0118 E-MAIL .emunoz@moodyins.com INSURERS AFFORDING COVERAGE NAICN INSURERA:Travelers Indernnity Company 5658 INSURED Alliance Construction Solutions LLC 2260 N. Broadway Denver CO 80205' INSURER B:Travelers Prop Cas Co of Amrca 25674 INSURERC:AnLer Guarantee Liab Ins Co 26247 INSURER o:Pinnacol Assurance 41190 NSURER E I INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 No Fomrs 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. INTR TYPE OF INSURANCE ADDL R POLICY NUMBER POLICY EFF MM/DONYYY POLICY EXP MMMONYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DTC0016IL68AIM15 /1/2015 /1/2016 DAMAGE TO RENTED PREMISES Ea oocurrence $ 300, 000 MED EXP (My one personi S 51000 PERSONAL$ ADV INJURY $ 11000,000 GENERAL AGGREGATE S 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,.000 X POLICY X PRO LOG E . AUTOMOBILE LIABILITY COMBIaEED SINGLE LIMIT EBI 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS DT81001151L68ATIL15 1/1/2015 1/1/2016 BODILY INJURY (Per accidem ) $ NON -OWNED HIRED AUTOS AUTOS - PROPERTY DAMAGE Per accidmf $ S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 L. EXCESS LIAB CLAIMS -MADE DED X RETENTION $ UC914113808 /1/2015 1/l/2016 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOWPARTNEREXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4038468 /1/2015 /1/2016 Y WC STATU- OTH- TS EL EACH ACCIDENT $ 11000,000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 11000,00 B Builder's Risk[ QT6605892N166TIL15 1/1/2015 1/1/2016 NC MNC MFR FR Limit 10,000,000 Special F Deductible $5,000 Frame JM Umll 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 9 more space is required) RE: Contractor's License A-96 City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 25 ileen Munoz/CHRMIL / 01988-2010 ACORD CORPORATION. All rinhte reserved. INS025 (201005),01 The ACORD name and logo are registered marks of ACORD