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HomeMy WebLinkAbout479201 HEATH CONSTRUCTION DBA SAUNDERSHEATH - INSURANCE CERTIFICATE (2)ACOR LJ�' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 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 INA, Inc. - Colorado Division CONTACT NAME: PHONE FAX IA/C. No): E-MAIL DemAccountTBchs@imacorp.com ADDRESS: 1705 17th Street INSURER(S) AFFORDING COVERAGE NAICS Suite 100 INSURERA: HARTFORD FIRE IN CO 19682 Denver, CO 80202 _ INSURED INSURERS: TRUMBULL INS CO (Hartford Insurance Cc) 27120 Heath Construction, LLC dba SaundersHeath INSURER CENDURANCE ANER INS CO 10641 INSURERD: PINNACOL ASSUR 41190 1212 Riverside Avenue, Suite 130 INSURER E : INSURERF: Fort Collins, CO 80524 CnVFRAnlcA CFRTIFICATF NIIMRFR• 56129773 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 DUL AINSO SUER viva NUMBER POLICPOLICY MMIDDY/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 34UEAZT7859 04/30/19 04/30/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGERENTED— PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 10,000 $5, 000 PD Deductible PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY T JECTPRO ❑ LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 34UEAZT7860 04/30/19 04/30/20 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ C X UMBRELLA LIAB X OCCUR XSC30000649201 04/30/19 04/30/20 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE a OFFICERIMEMBEREXCLUDED9 (Mandatory In NH) N /A 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 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins and State of Colorado are included as Additional Insureds on the General and Automobile Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. : 7675 South Transit Center - Bike Shelter Addition. ty of Fort Collins 300 Laporte Ave. Collins, CO 80522 USA 1,1A17l,CLW I1Vrr 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2018spm60 56129773