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HomeMy WebLinkAbout563449 CENTERLINE SOLUTIONS LLC - INSURANCE CERTIFICATECENTSOL-01 KSTEFANSKI .aCORo° CERTIFICATE OF LIABILITY INSURANCE `�1 DAT D/YYYY) 1/27/227/2015 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 CONTACT NAME: MHIA, LLC 4704 Harlan St., Unit 360 PMONE 303 237-5445 FAX (303)239-8807 ac No Exn: ( ) ac No E-MAIL ADDRESS: Denver, CO 80212 INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Travelers (Primary) 10647 INSURED INSURER B: National Union Fire Centerline Solutions, LLC INSURER C : Pinnacol 41190 INSURER D: Lloyds of London 16360 Table Mountain Parkway Golden, CO 80403 INSURER E INSURER F: 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 rypE OF INSURANCE INSD VWD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAWSWADE PC]OCCUR 4TCO313754513 02/01/2015 02/01/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYFX] JEST LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED F SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BA38754513 02/01/2015 02/01/2016 co aD SINGLE LIMIT Ea accident $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIPS EXCESSLIAB X OCCUR CLAIMSAADE BE015271672 02/01/2015 02/01/2016 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 DED X RETENTION $ 10,000 IS C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? F�7 (Mandatory In NH) If yes, descnce under OF SCRIPTION OF OPERATIONS below NIA 4154233 02/01/2015 02/01/2016 X PER OTH. STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 EL. . DISEASE - POLICY LIMIT $ 1,000,00 D A Professional Liab Installation Floater HLA0102/013 4TC0313754513 02/14/2015 02/01/2015 02/14/2016 02/01/2016 Per Claim 2,000,00 Maximum Limit 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 1111, Additional Remarks Schedule, maybe attached it more space Is required) City of Ft. Collins PO 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 ACORD 25 (2014/01) ©1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD