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HomeMy WebLinkAboutH W HOUSTON CONSTRUCTION CO INC - INSURANCE CERTIFICATEACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYV) �� 4/2/2015 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 CENTENNIAL INSURANCE AGENCY, LLC. 1515 Fortino Blvd. 2nd Floor Pueblo INSURED CO 81008 HW Houston Construction Co. Inc. 210 S. Victoria Ave., 81003 PO Box 1463 WNIAI:I •Carlie Genova NAME: PHOWC, No. o Ext)• (719) 544-1111 IAIC No,: (719)545-5120 E-MAIL ADDRESS: cg enova@centonaial-ins. crow INSURER(S) AFFOIIONICa COVERAGE NA1Ct __ INSURERA:Pinnacol Assurance 41190 Pueblo CO 81002 1 INSURER F : COVERAGES CERTIFICATE NUMBER:15-16 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 ADDL-SUER POLICY EFF POLICY EXP rypE OF INSURANCE LTR POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ AGE TO RENTED __ _ . CLANS -MADE OCCUR PREMISES SES Ea omunence $ _ MED EXP (Any_ one person) $ PERSONAL B ADV INJURY $ _ GENERAL AGGREGATE GENT AGGREGATE LIMIT APPLES PER. $ PRO - PRO POLICY LOC PRODUCTS -COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)_ $ ANY AUTO II INJURY (Per person) $ ALL OWNED SCHEDULED -BODILY I'.80DILY INJURY (ParexlOeM) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS . AUTOS III—L Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? A (Mandatory in NH) NIA 4067421 4/1/2015 4/1/2016 - E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Contractor's License City of Fort Collins P.O. 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 rk Swanson/CARLIE ©1988-2014 ACORD CORPORATION. All riahfs ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS0251201401)