HomeMy WebLinkAbout441491 ALPINE DEMOLITION & RECYCLING LLC - INSURANCE CERTIFICATEA� ® DATE (MM/DD/ 15
CERTIFICATE OF LIABILITY INSURANCE 4/13/2o1s
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 CONTA TDanielle Schmeling
IRG Underwriters, LLC
6501 E. Belleview Ave.
Suite 550
Englewood CO 80111
INSURED
Alpine Demolition
5990 Ripling St. Unit 001
Arvada CO 80004
PHONED xt (720) 403-9450 1FX No: (720)403-9451
nDORless: an dschmeling@landmarkinsgroup.co
INSURERS AFFORDING COVERAGE
NAIC/
INSURER A:Pinnacol Assurance
INSURER B :
INSURERC:
INSURER D:
INSURER E :
INSURERF:
COVERAGES CERTIFICATE NUMBER CL1541301905 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.
mu
L
TYPE OF INSURANCE
ADDL
POLICY NUMBER
POLICY EFF
MM
POLICY EXP
M IYY
LIMITS;
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Ea occurrence)
ccurrence
$
MED EXP (Any one person)
$
PERSONAL B ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO JECT ❑ LOC
OTHER:
GENERAL AGGREGATE
$
$
PRODUCTS-COMP/OP AGG
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
Ea accident
$
$
BODILY INJURY (Par person)
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAO
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) Li
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
4000961
5/1/2015
5/1/2016
ER
TATt1TE I I ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEd
S 1,000,000
E.L. DISEASE -POLICY LIMIT
I S 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
City of Fort Collins
215 North Mason Street
2nd Floor
Fort Collins, CO 80522
L.AINI.CLLA 1 IUIN
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
Bossert/ANB001�z- !% �—
All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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