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HomeMy WebLinkAboutSTEEL-T HEATING INC - INSURANCE CERTIFICATE (3)P526W2a002 0 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 00 r z W