HomeMy WebLinkAboutA.V REMODELING & CONCRETE SERVICES - INSURANCE CERTIFICATE�►> try CERTIFICATE OF LIABILITY INSURANCE DATE(MM/t019 �)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
FIESTA AUTO INSURANCE AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
2400 E 88TH AVE SUITE F CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
DENVER, CO 80-?z9 COVERAGE AFFORDED BY THE POLICIES BELOW.
303-288-2196
JSURED
INSURERS AFFORDING COVERAGE
INSURER A: PREFERRED CONTACTORS
NAIC #
12497
A.V REMODELING & CONCRETE SERVICES
INSURER 6:
3715 BOULDER ST
EVANS CO 80620
INSURER C:
INSURER 0:
INSURER E:
� rrc rvu�.iSJ yr I "L"-,ryl:t LIJI to UtLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI
PERTAIN, THE INSURANCE; AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM:
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS.
N5R TYPE OF INSURANCE P POLICY EFFECTIVE POLICY EXPIRATION
INSR 0lfCY NUMBER DATE WMIDOIYYI DATE IMMInnnm
GENERAL LIABILITY
A � 1792040
Z COMMERICAL GENERAL LIABILITY
❑❑ CLAIMS MADE ® OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
® POLICY ❑ PROJECT ❑ LOC
❑ 0.UTQMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
❑ SCHEDULED AUTOS
❑ HIRED AUTOS
❑ NON -OWNED AUTO&
GARAGE LIABILITY
❑ ANY AUTO
ElEXCESSIUMBRELLA LIABILITY
❑ OCCUR ❑ CLAIMS "ADE
❑ DEDUCTIBLE
❑ RETENTION $
❑WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIE T ORiPARTNER/EXECU-
TIVE OFFICERIMEMBER EXCLUDED?
It yes, descK6e under
SPECIAL PP.OVISIGNS below
Q OTHER
04/24/2019 1 04/24/2020
DEECRIPTIDN OF OPERATIONS I LOCAT:CNS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CITY OF FORT COLLINS
215 NORTH MASON ST 2m FLOOR
FORT -COLLINS CO 80522
FAX 970-221-678Z
POLICY PERIOD INDICATED, NOTWITHSTANDING
ICH THIS CERTIFICATE MAY BE ISSUED OR MAY
EXCLUSIONS AND CONDITIONS OF SUCH
LIM;1'8
EACH OCCURENCE s1,000,000
DAMAGE TO RENTED
$50,000
PREMISES Es Occurrence
I IVIED EXP (Any one person)
$5,000
(PERSONAL &AOVINJURY
$1,000,000
j GENERAL AGGREGATE
$2,000:000
PRODUCTS - COMPrOP AGG
$1.000,000
5
COMBINED SINGLE U.-AT
(Each Occurmnra)
S
BODILY INJURY
(Per person)
8
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per =ident
$
j AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EAACC
$
AUTO ONLY: AGG
$
EACH OCCURRENCE
$
AGGREGATE
S
$
$
$
WC STATU-
1:1ER
TORY LIMITS
E.L EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E. L. DISEASE - POLICY LIMIT $
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAC E W:LL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMES TO THE LEFT, BUT
FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF AN KIND UPON THE
INSURER, ITS AGENTS OR REPRESENTATFa$
ITHORI2ED REPRESENTATIVE _ 7
ACORD CORPORATION 1988