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Home My WebLink About501461 CONSTRUCTION CONCEPTS INC - INSURANCE CERTIFICATEAC� ® DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/28/2018 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 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 endorsements . PRODUCER CONTACT NAME: KarOle Peters Ewing -Leavitt Insurance Agency, Inc. PHONE (970) 679-7355 FAX (866)4237-2178 aC No : 4090 Clydesdale Parkway E-MAILss:karole-peters@leavitt.com Suite 101 INSURERS AFFORDING COVERAGE NAIC 0 Loveland CO 80538 INSURER Addison Insurance Company 10324 INSURED INSURER B :PinnaCol Assurance 141190 Construction Concepts Inc INSURERC Atlantic Specialty Insurance 127154 14125 Mead Street INSURERD: I Longmont CO 80504 1 INSURER F • 1� COVFRAGFS (_FRTIFICATF NI 1URPI7.1 A-) 9 TTPT)ATV.. o0111e1nu ul umo�o. 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 SUBR POLICV NUMBER POLICY EFF 10/1/2018 POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 60509044 10/l/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 X MED EXP Any one person $ 10,000 Blkt Additional Insured X Blkt Waiver of Subro PERSONAL & ADV INJURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRI- POLICY ECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 60509044 10/1/2018 10/l/2019 COMBINED SINGLE LIMIT Ea accident $ 1 000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) ( $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ X Blkt Al X Blkt WOS A X UMBRELLA LIAB X OCCUR 60509044 10/1/2018 10/1/2019 EACH OCCURRENCE $ 2,000,000 $ 2,000,000 EXCESS LAB CLAIMS -MADE AGGREGATE DEC I X I RETENTION 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECU I NE OFFICER/MEMBER EXCLUDED? N / A 4031745 7/1/2018 7/1/2019 X PER OTH- STATLITE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Blanket Waiver of Subrogation included E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Builders Risk- Reporting 790-01-03-05-0007 10/1/2018 10/1/2019 Any one structure ($1,000 ded) $2,500,000 A Leased/Rented Equipment 60509044 10/l/2018 10/1/2019 Limit with $1,000 ded $150 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) %,arc I Irl%iM I C nUL-Ur-UrL ANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason Street 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 Karole Peters/KAPETE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INCf19S nnnl �