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HomeMy WebLinkAboutFOOTHILLS COMMERCIAL BUILDERS INC - INSURANCE CERTIFICATE (2)A`CERTIFICATE OF LIABILITY INSURANCE (MM/DDrYYYY) ATECORO® r12/21 /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 endorsement(s). PRODUCER Olson & Olson Ltd 5655 S Yosemite Street #200 Greenwood Village CO 80111 CONTACT NAME: PHONE FAX Arc No Ext : 303-867-2055 a/c No): 303-867-2074 _ E MAIL ADDRESS: o2@olsonandolson.com INSURERS AFFORDING COVERAGE NAIC p INSURER A: Westfield National Ins CO 24120 INSURED FOOTCOM-01 Foothills Commercial Builders, Inc. 7241 S. Fulton St. INSURER B : Plnnacol Assurance 41190 INSURER C : INSURER D: Centennial CO 80112 INSURER E : INSURER F : _ 1 I COVERAGES CERTIFICATE NUMBER: 505796143 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE INSO WVDSUER POLICY NUMBER MM DD/YPOLICY EYYY MFF M/DDY� LIMITS A X COMMERCIAL GENERAL LIABILITY CMM 5 044 498 1/1/2019 1/1/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE T RENTED PREMISES Ea occurrence $ 500,D00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L POLICY 1XI JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CMM 5 044 498 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS IAUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR X OCCUR CMM 5 044 498 1/1/2019 1/1/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED X RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � N /A 4197966 1112019 1/1r2020 X I STATUTE OERH 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 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder and those listed below(if any) are Additional Insureds as respects General Liability and Umbrella Liability on a Primary and Non -Contributory basis, and Auto Liability only if required by written contract or agreement and coverage applies only as respects work performed by the Insured for the Additional Insureds. All coverage terms, conditions, and exclusions of the policy apply. The Worker's Compensation, General Liability, Auto Liability, and Umbrella Liability policies include a Waiver of Subrogation in favor of the Additional Insureds only if required by written contract or agreement. Contractors License. L,LK I II -ILA I L NULUtK UANUtLLA I IUN City of Fort Collins P.O. Box 580 Fort Collins CO 80522-0580 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORn 25 (.2014/011 The ACORD name and logo are registered marks of ACORD