HomeMy WebLinkAboutSTEEL-T HEATING INC - INSURANCE CERTIFICATE (3)P526W2a002
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AC`t7RDr CERTIFICATE OF LIABILITY INSURANCE
09/26/2018 '
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:
PHONE FAX
INC No. Ext):_ (A/C No):
INA, Inc. - Colorado Division
E-MAIL
ADDRESS: Denaccounttecho@imacorp.com
1705 17th Street
INSURERS AFFORDING COVERAGE
NAIC #
Suite 100
INSURER A: UNITED SPECIALTY INS CO (All Risks Ltd)
12537
Denver, CO 80202
INSURED
INSURERS:WESTFIELD INS CO
24112
Steel-T Resting Inc.
INSURER C TRAVELERS EXCESS & SURPLUS LINES CO
29696
INSURERD:
2750 S. Shoshone Street, Suite 240
INSURER E :
INSURERF:
Englewood, CO 80110
nnveewnce PCDTICIPATe KIIIUDCD- SdngAAnn RFVIICInN NIIMRFR•
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.
INS R
LTRWVD
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
MM✓DDY EFF
MOLDpY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FX] OCCUR
ATHATL1851571
10/01/18
10/01/19
EACH OCCURRENCE
$ 1,000,000
MAGET RENTED
PREMISES Ea occurrence
E 50,000
MED EXP (Any one person)
$ EXCLUDED
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY LJ PRO-JECT ❑ LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000 ..._
$
H
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
TRA8314878
10/01/18
10/01/19
COMBINED SINGLE LIMIT
Ea accident)
E 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident)__
$
$
C
R
I UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
ZUP91M4246718NF
10/01/18
10/01/19
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
DIED X RETENTION $ 10,000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
I
i
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
GtK I Ih1UA I t_
City of Fort Collins
215 N. Mason Street 2nd Floor
Fort Collins, CO 80522
ACORD 25 (2016/03)
ashtncclain
54098800
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 PzeIISA `'
V 1986-ZUI5 AUVKU UUKrUKAI IUN. An rlgnis reserve0.
The ACORD name and logo are registered marks of ACORD
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