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HomeMy WebLinkAboutPEAK PROFESSIONAL CONTRACTORS INC - INSURANCE CERTIFICATEPEAKPRO-01 CREHORST ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YVYY) 12/19/2018 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 Caryn Rehorst, CISR, CIC, CRIS NAME: OFAX (AIC, No, Ext): (719) 477-4276 4276 (A/C, No): CB Insurance, LLC 1 South Nevada Ave., Suite 230 Colorado Springs, CO 80903 E-MAIL SS: caryn.rehorst@centralbancorp.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Co. 25615 _ INSURED INSURER B: Travelers Property Casualty Company of America 25674 INSURER C:The Phoenix Insurance Company 25623 _ Peak Professional Contractors Inc. INSURERD: 1029 S Sierra Madre, Ste A Colorado Springs, CO 80903 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL NSD SUBR WVD POLICY NUMBER POLICY EFF MM DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X DT-CO-9D389833-COF-18 12/31/2018 12/31/2019 DAMAGE TO RENTED PREMI E Ea occurrence 300,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY � JECT 1:1 LOC $ OTHER B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) 1,000,000 $ BODILY INJURY Perperson) X ANY AUTO 810-1 L6987611-18-26-G 12/31/2018 12/31/2019 $ BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per acadent HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESSLIAB CLAIMS -MADE CUP-3K842666-18-26 12/31/2018 12/31/2019 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A UB-9J608796-19-26-G 1/1/2019 1/1/2020 PER OTH- X I TAT TE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Leased/Rented Equip IT QT-660-9C601877-COF-18 12/31/2018 12/31/2019 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract or written agreement, City of Fort Collins is included as an Additional Insured for ongoing operations under the General Liability Policy. City of Fort Collins 281 N. College Ave Fort Collins, CO 80526 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 4�_" Y05//,5- ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD