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HomeMy WebLinkAboutCONSTRUCTION MANAGEMENT SERVICES INC - INSURANCE CERTIFICATE. i%. R CERTIFICATE OF LIABILITY INSURANCE `/ GATE 0 20 4 12/30/2014 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: 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 endorsement(s). PRODUCER J. Goodman Insurance Agency 1990 E Santa Fe Suite 103 Olathe KS 66062 CONTACT Patrick Cross NAME PHONE (913)829-0093 FAX o:(913)829-0083 IL .Patri+e=.,; asurance. com E ck@jgooH INSURERS AFFORDING COVERAGE NAIC # INSURERA:Rockhill Insurance Company 8053 INSURED Construction Management Services, Inc. 19343 W 151st Terr Olathe KS 66062 INSUREReOhio Security Insurance Co 24082 INSURIBRcRiverport Insurance Company 36684 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:CL14123000278 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRlmwa TYPE OF INSURANCE DDL SUER NUMBER MWDICYEFF POLPOLICY MPOLICY E%P LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 A CLAIM&MADE FxIOCCUR 7ENLO1193000 2/18/2014 2/18/2015 MED EXP(Any one person) $ EXCLUDED PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-OOMPIOPAGG $ 2,000,000 X POLICY PRO-LOC AFCT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 500,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS S6450929 2/22/2014 2/22/2015 BODILY INJURY (Per acoden0 $ PROPERTY DAMAGE (Per accdent $ NON -OWNED HIRED AUTOS AUTOS Bls AM Enhncmt Emit $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETWMARTNER/E)IECUTIVE OFFICERIMEMBER EXCLUDED? Y❑ (Mandmory in NH) NIA C-15-81-031627-00 /3/2015 /3/2016 X VVC STATU- OTH- E.L. EACH ACCIDENT $ ZOO OOO E.L. DISEASEEAEMPLOY $ 100 000 If yes, descnM under DESCRIPTION OF OPERATIONS bCIOM E1. DISEASE -POLICY LIMIT S 500.0GD DESCRIPTION OF OPERATIONS i LOCATIONS I VEMCLES (Atfadh ACORD 101, Addmorlal Remarks Schedule, N more space Is required) 19aC4rILef1\r Ii PJ YIiL 9110 PI A etS\ r PIP CITY OF FORT COLLINS, COLORADO 300 LAPORTE AVE FORT COLLINS. CO 80521 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 Andersen/KA 1 r•' pd-0 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (271oo5).o1 The ACORD name and logo are registered marks of ACORD