HomeMy WebLinkAboutWILLIAMS CONSTRUCTION CORPORATION - INSURANCE CERTIFICATEYS1ouliuXll
ACC CERTIFICATE OF LIABILITY INSURANCE °1"2/1912DOIS
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 WANED, 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 endorsements).
PRODUCER 1-303-534-4567 CONTACT
NAME:
INA, Inc. - Colorado Division PHONE FAX
'A/C No. 94-
E-MAIL DWACCOUIItTK'heQiIDaCOrp.COm
1705 17th Street ADDRESS ----- ----
Suite 100 INSURER(S) AFFORDING COVERAGE __NAIC_ 0__
Denver, CO 80202 INSURER A: PINK&COL ASSUR 41190
INSURED INSURERB: _
Williams Construction Corporation
INSURER C
2701 W Mansfield INSURERD:
INSURER E :
Englewood, CO 80110-7525 INSURERF:
r•nvcoer_cc 11C0T19:IrATF MIIYRFR• 54816512 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 ADM SUER POLICY EFF POLICY EXP LIWTS
LTR TYPE OF INSURANCE POLICY NUMBER YWDD/YYYY W YD
COMMERCIAL GENERAL LIABILITY
- - _ CLAIMS -MADE L_ J OCCUR
AGGREGATE LIMIT APPLIES PER:
POLICY , JECT [] LOC
OTHER.
EACH OCCURRENCE
$
--
GENT
PREMISES Me occrrrence
$_-
MED EXP (Any one peen)
$
S
PERSONAL 3 ADV INJURY
GENERAL AGGREGATE
S
PRODUCTS -COMPIOPAGG
$
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED
COMBINED SINGLE LIMIT
accident)$
BODILY INJURY (Per person)
$
BODILY INJURY (Per aocldent)
S
PROPERTY UAMAGE
$
S
--
UMBRELLA LIAR
EXCESS LAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
S
--
DE.T1 RETENTION --.._
S
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLt1E
(Mandatory In NH)
S yS desa bB under
DESCRIPTION OF OPERATIONS below
NIA
4032199
01/01/19
01/01/20
TH
z STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
EL. DISEASE - EA EMPLOYEE
S 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks ScMduN, may be attached If more space Is required)
CERTIFICATE HOLUEK VAIVI.CLLA t IVN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
281 N. College Ave. AUTHORIZED REPRESENTATIVE MR
Fort Collina, CO 80521
DSA
C 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
SDZM
54816512
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