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HomeMy WebLinkAboutL R CONTRACTING INC - INSURANCE CERTIFICATE (7)LRCON-1 OF ID: MRT ,44coR" CERTIFICATE OF LIABILITY INSURANCE `----' DATE 04/02/2015Y) oa/oz/zo1 s 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 CRS Insurance Brokerage Commercial Risk Solutions DBA CONTACT Nathan M. Fonseca PHONE FAX A/CyNo E,d:303-996-7801 A� Ne, 303-757-7719 6600 E. Hampden Ave. Denver, CO 80224 E-MAIL ADDRESS: Nathan M. Fonseca INSURERS AFFORDING COVERAGE NAIC0 INSURER A: Pinnacol Assurance INSURED L R Contracting Inc. 10270 Rotherwood Circle Highlands Ranch, CO 80130 INSURER B: NSURERC: INSURER D : INSURER E : INSURER F: NO COVERAGE WITH CRS 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 'ADDL, SU POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/OD/YYYY LIMITS F COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR NO COVERAGE WITH CRS EACH OCCURRENCE $ NO COVERAGE DAMAGE PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL B ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC OTHER. GENERAL AGGREGATE S PRODUCTS - COMPIOP AGG $ $ F AUTOMOBILE LIABILITY ANY AUTO ALLOWNEO SCHEDULED AU AUTOS TOS NON -OWNED HIREDAUTOS AUTOS NO COVERAGE WITH CRS COMBINED SINGLE LIMIT Ea acadeM $ NO COVERAGE BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accitlent _ _ $ $ F UMBRELLA UAB EXCESS UAS OCCUR CLAIMS -MADE NO COVERAGE WITH CRS EACH OCCURRENCE $ NO COVERAGE $ $ AGGREGATE DIED RETENTION E A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA 161775 01/0112015 01101/2016 X PER OTH- TATUTE ER E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - FA EMPLOYEES 100,00 E.L. DISEASE - POLICY LIMIT I $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. UCK I Ir1UA I G r1ULUGK UANUtLLA I IUN CIFORTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80526 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD