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Home My WebLink AboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATE (4)ACORD,. CERTIFICATE OF LIABILITY INSURANCE 5/1/2019 DATE(MMIDDIYYYY) 4/25/2018 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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 CONTACT NAME: PHONE A/C No Ext : A/C No): E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # (303) 414-6000 INSURER A: Valley Fore Insurance Company 20508 INSURED The Bauen Corporation 1034092 801 E. 52nd Ave. Denver, CO 80216 INSURER B : The Continental Insurance Company 35289 INSURER C : Pinnacol Assurance Company 41190 INSURER D : AXIS Surplus Insurance Company 26620 INSURER E: INSURER F COVERAGES BAUC003 CERTIFICATE NUMBER: 1991907 REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ADDL INSO SUER WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ){ N N 4021109791 5/1/2018 5/1/2019 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER POLICY JER0 ❑ LOC P1 OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000 000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOSULED AUTOS ONLY X ED AUUTOS ONLY N N 4021110598 5/1/2018 5/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X Perr. cdentDAMAGE $ XXXXXXX $ XXXXXXX B }( UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 4021109807 5/1/2018 5/1/2019 EACH OCCURRENCE $ 5,000.000 AGGREGATE $ 5,000,000 DED I I RETENTION $ $ XXXXXXX C WORKERS COMPENSATION ANDEMPLOYERS' LABILIITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A N 2127630 10/1/2018 10/1/2019 TH- X STATUTE oER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - FA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 D Pollution Liability N N CP002398022018 5/1!2018 5/1/2019 Limit- $1,000,000 each claim Ded: $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1991907 AUTHORIZED REPRESENTATIVE City of Fort Collins P.O. Box 580 Fort Collins CO 80522 &II 1� L rlel/"(�Orv/ ACORD 25 (2016103) 118812015 ORPOKATION. All rights reserved The ACORD name and logo are registered marks of ACORD