HomeMy WebLinkAboutLEI COMPANIES INC - INSURANCE CERTIFICATE (2)1`52604UH002 DATE (MMlDDIYYVY) ACURU� CERTIFICATE OF LIABILITY INSURANCE 10/01/2018 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 1-303-534-4567 CONTACT NAME: INA, Inc. - Colorado Division PHONE FAX - E-MAIL denaCcounttecho@imacorD.com 1705 17th Street ADDRESS: ' Suite 100 INSURER(S)AFFORDING COVERAGE _ NAICY Deaver, CO 80202 INSURER A:WESTFIELD INS CO 24112 INSURED - -_ INSURERS: PINNACOL ASSUR 41190 LEI Companies, Inc. INSURER CINDIAN HARBOR INS CO (XL Environmental =940 2017 Curtis St INSURERD: INSURER E : Denver, CO 80205 INSURER F: C01VFR1kr:FS CFRTIFICATF NIIMRFR• 54201459 REVISION NUMRFR- 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. POLICY EXP INSR TYPE OF INSURANCE �� SUBR POLICY NUMBER MMI DY EFF MMIDDIYYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY TRA7910440 10/01/18 10/01/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PREMISES S Ea occurrence) $ 500,000 MED EXP (Any one person) $ 10,000 = PD DED: $ 500 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ECT 1...1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY TRA7910440 10/01/18 10/01/19 COMBINED SINGLE LIMIT Ea a�ntJ--- = 1,00 00,000 S ANY AUTO BODILY INJURY (Pe r person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acGdentl $ NON -OWNED 8 HIRED Ix AUTOS ONLY AUTOS ONLY $ A Z UMBRELLA LIAB E OCCUR TRA7910440 10/01/18 10/01/19 EACH OCCURRENCE $ 9,000,000 AGGREGATE S 9,000,000 EXCESSLUIB CLAIMS -MADE DED I % RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE �, OFFICERIMEMBEREXCLUDED? u (Mandatory In NH) N / A 4062205 10/01/18 10/01/19 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT f 1,000,000 If yes, describe under DESCRIPTION OF OPERA iIONS below A Leased 6 Rented Equipment TRA7910440 10/01/18 10/01/19 Limit 100,000 Deductible 500 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) I.tKI Itlt AIt MULUtK 1+Ar9`6,CLLA I IVIY rci"Loi cense #NE-1227. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE f Ft. Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Ft. Collins, CO 80522 ACORD 25 (2016/03) michael.sheinberg 54201459 AUTHORIZED REPRESENTATIVE USA L ' ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD N 7 z Liz