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HomeMy WebLinkAbout479201 HEATH CONSTRUCTION DBA SAUNDERSHEATH - INSURANCE CERTIFICATE��-+�ry,-7 C.. I!'�F,�[[�-JJ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 05/02/2019 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 1-303-534-4567 IRA, Inc. - Colorado Division C NTACT NAME: PHONE I FAX A/C No): E-MAIL DenAccountTechs@imacorp.com ADDRESS: rD•com 1705 17th Street INSURERS AFFORDING COVERAGE NAIC0 Suite 100 INSURER A:HARTFORD FIRE IN CO 19682 Denver, CO 80202 -- ----- ---- _ INSURED INSURERS: TRUMBULL INS CO (Hartford Insurance CO) — 27120 Heath Construction, LLC dba SaundersHeath INSURER CENDURANCE AMER INS CO 10641 INSURER D: PINNACOL ASSUR 41190 1212 Riverside Avenue, Suite 130 INSURER E : INSURERF: Fort Collins, CO 80524 COVERAGES CERTIFICATE NUMBER: 56129754 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 A L SUBR POLICY NUMBER MMIDDPOLICY EFF POLICY EXP MMIDDIIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 34UEAZT7859 04/30/19 04/30/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO R N PREMISES Ea occurrence) E 300,000 X MED EXP (Any one person) $ 10,000 $5, 000 PD Deductible PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [�] PROJECT 7 LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILBILITY 34UEAZT7860 04/30/19 04/30/20 COMBINEDSINGLELIMIT Ea accdent $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 1X BODILY INJURY (Per accident) E PROPERTY DAMAGE Per accident E X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY --__ ___ E C X UMBRELLALIAB X OCCUR XSC30000649201 04/30/19 04/30/20 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ D AND EMPLOYERS' LIABILITY AND EMPSCOINP'LIATIONILIT ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA 3096125 - Colorado 10/01/18 10/01/19 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT E 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H mom apace Is required) CERTIFICATE HOLDER CANCELLATION RE: Contractor License. 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. Attn: Delynn Coldiron PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 / USA !! / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 2018sDm60 56129754 The ACORD name and logo are registered marks of ACORD