HomeMy WebLinkAboutHEATH STEEL LLC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
12/26/2018
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
CONTACT Shannon Kammerer
NAME:
Flood and Peterson
PHONE (970) 356-0123 FA(970) 330-1867
c
A'CC..0 Ezt : No):
PO Box 578
EMAIL ADDRESS: SKammerer@floodpeterson.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Zurich American Insurance Company
16535
Greeley CO 80632
INSURED
INSURER B : Travelers Property Casualty Company Of America
25674
INSURER C : Zurich
Heath Steel, LLC
INSURER D :
PO Box 473
INSURER E :
INSURER F :
Fort Collins CO 80522
COVERAGES CERTIFICATE NUMBER: x12/31/18-19 Master 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.
LTR
TYPE OF INSURANCE
INSD
WVO
POLICY NUMBER
MM DDY EFF
MMIDDIYYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS-MADE ® OCCUR
DAMAGE TO RENTEr-
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
A
GLA013704704
12/31/2018
12/31/2019
AGGREGATELIMITAPPLIESPER:
GENERAL AGGREGATE
$ 2,000,000
OLICY ® JJECOT LOC
RLTHER
PRODUCTS-COMPIOPAGG
$ 2,000,000
BLNKT
$
:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident
$ 1,000,000
BODILY INJURY (Per person)
s
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
GLA013704704
12/31/2018
12/31/2019
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Medical payments
$ 5,000
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
S 5,000,000
B
M
EXCESS LIAR
CLAIMS -MADE
ZUP41M1464018NF
12/31/2018
12/31/2019
AGGREGATE
$ 5,000,000
DEC) I X1 RETENTION $ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY v t N
ANYOR/PARTNER/EXECUTIVE
OFFICER/MEMBCERIMEMBER EXCLUDED?
(Mandatory In NH)
NIA
WC0149561-01
12/31/2018
12/31/2019
PER ER,
STATUTE ER
E.L. EACH ACCIDENT
1,000,000
$
I E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
GESCRiP DON Or OPERATIONS below
I
E.L. DISEASE - POLICY LIMIT
1,000,0uO
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 1190
AUTHORIZED REPRESENTATIVE
Fort Collins CO 50522-1190
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