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HomeMy WebLinkAboutPARAMOUNT REMODELING INC - INSURANCE CERTIFICATED ATE ACORL�® CERTIFICATE OF LIABILITY INSURANCE E (MM/DDrVVVY) �' 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 NAME: Shana Phillips Arthur J. Gallagher Risk Management Services, Inc. PHONE 303-444-4666 FAx ;303-444-8481 3005 Center Green Drive Suite 120 IAICE-MAINo,LExtIm Boulder CO 80301 ADDRESS: Shana_Phillips@ajg.com .._ tNSURER(8! AFFORDING COVERAGE NMC i INSURER A: Addison Insurance Company 10324 PARAREM-01 INSURED INSURER B : Pinnacol Assurance Company ____ 41190 Paramount Remodeling Inc. Paramount Electric — Martin Maxwell INSURERC: 8105 W 125 Frontage Rd. #5 INSURER0: Frederick CO 805169465 INSURERE: COVERAGES CERTIFICATE NUMBER:519548338 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. INSR TYPE OF INSURANCE DLS - POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM DDIYYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY 60306641 1/11/2019 1/11/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE F OCCUR _ PREM!5ES r;€ Er i�Fa occurrenn ce) $ 100,000 MED EXP (A on erson) $ 5,000 -- — PERSONAL & ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0D0 POLICY jRa LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EOPIRINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE P $ HIRED NON -OWNED _ AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED , RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y r N ANYPROPI nTOR/PARTNEFVEXECUTIVE lM OFFICEREMBEREXCLUDED? i NIA 4114449 12/12018 12/1/2019 X PER TH- TATUTE __ E �E_L. EACH ACCIDENT _ $ 500,000 (MandatoryE.L. DISEASE - EA EMPLOYEE $ 500,000 It yes, describe under DESCRIPTION OF OPERATIONS btlow E.L. DISEASE -POLICY OMIT $ 500,000 A Rented Leased Equipment ' 60306641 1/11/2019 1/11/2020 'Limit $ 100,000 I i i DESCRIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Fort Collins PO BOX 580 Fort Collins CO 80522 USA 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 2 8638