HomeMy WebLinkAboutPRADELL BUILDERS INC - INSURANCE CERTIFICATEC-0 DATE (MMrODYYYY)
ACORL7 CERTIFICATE OF LIABILITY INSURANCE
164�9/20/2018
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 have ADDITIONAL INSURED provisions or 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 O ACT
NAME;., Scott Anderson,ClC
Commercial Risk Solutions PHONE --��— -- FAX -
6600 EHampden Ave Ste 200 E MAIL : 303-996-7833 A: _. No): 303-757-7719
Denver CO • sanderson crsdenver.com
INSURED
Pradell Builders, Inc.
701 W. 114th Avenue
Northglenn CO 80234
PRADL-t
INSURER(S)AFFORDING COVERAGE I NAICx
INSURER B : Nationwide
INSURER C :
INSURER D :
INSURER E
INSURER F
rnVFRAGFS rFRTIFICATF NUMRFR• 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 SUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L _
INSR `TYPE OF INSURANCE i POLICY NUMBER PM DD YEY POLICY LIMITS
B
X COMMERCIAL GENERAL LIABILITY
y
ACP3017333559
9/22/2018
9/22/2019
EACH OCCURRENCE
S 1,000,000
� X-�
CLAIMS -MADE OCCUR
1 - I
---
DAMAGE TO RENTED
PREMISEEa urrence_l
- ------
$300,000_, _
MED EXPSAn� one Parson
$ 5,000
PERSONAL & ADV INJURY
$1 000,0o0 _
GENERAL AGGREGATE
$ 2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY FX7,11 PRO- LOC
JECT
PRODUCTS - COMP/OP AGG
$ 2,000,000
Hired & NonOwned
$ Induded
OTHER:
B
AUTOMOBILE LIABILITY
ACP3017333559 9/22I2018
9122/2019
COMBINED SINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY �� AUTOS ONLYaccidert
I BODILY INJURY (Per accident)
$
PPROPERT DAMAGE
$
X UMBRELLALIAB Xyi' OCCUR
ACP3017333559 9!2?12018
9/2212019
EACH OCCURRENCE
$5,000,000
EXCESS LIAR CLAIMS -MADE
I AGGREGATE
_
$ 5.000,000
-
DEDRETENTION 5
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR PARTNER�EXECUTIVE Y�
417SIM5 2:1i2016 2 .,2019
i
OTH-
IX PIN T TOTE ER___-_____,__-,_-_.__
„
$1,000,000_
i-_ER
_-
E.L. EACH ACCIDENT
OFFICER,,MEMBER EXCLUDED?
(Mandatory In NH)
NIA
E.L. DISEASE - EA EMPLOYEE
T
$1,000,000
E.L- DISEASE - POLICY LIMIT
$ 1 000,000
It yes, describe under
DESCRIPTION OF OPERATIONS below
i
DESCRIPTION OF OPERATIONS, LOCATIONS: VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as
required by written contract. All policy terms, conditions and exclusions apply.
!`CDTICIf`ATC unl ncn rANCF1 I ATInN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
281 North College Avenue, PO Box 580
Fort Collins CO 80522-0580
AUTHORIZED REPRESENTATIVE
T) 1988-2015 ACORD COHPOHA I ION. All rlgnts reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD