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HomeMy WebLinkAbout479201 HEATH CONSTRUCTION DBA SAUNDERSHEATH - INSURANCE CERTIFICATE (3)P52Gank(9)2 3 R r A �i.^`ti s 70 A l../R0 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 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX IAIC, No. LasA/C No): E-MAIL ADDRESS: ADDRESS: r'p • OOMI 1705 17th Street INSURER(S) AFFORDING COVERAGE NAIC M Suite 100 INSURERA: HARTFORD FIRE IN CO 19682 Denver, CO 80202 _ INSURED INSURERS: TRUIII INS CO (Hartford Insurance Cc) 27120 Heath Construction, LLC dba SaundereHeath INSURER C: ENDURANCE AMER INS CO 10641 INSURERD: PINNACOL ASSUR 41190 1212 Riverside Avenue, Suite 130 INSURER E : INSURERF: Fort Collins, CO 80524 COVERAGES CERTIFICATE NUMBER: 56129761 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 I TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY MMIDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 34UEAZT7859 04/30/19 04/30/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fi-I OCCUR PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 10,000 $5, 000 PD Deductible PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[X]JECTPRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 34UEJLZT7860 04/30/19 04/30/20 COMEaBiNEDidentSINGLELIMIT acc $ 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 04131119 04/30/20 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 EXCESS LIAR CLAIMS -MADE DIED I I RETENTION $ $ D AND EMPSCOINP'LIATIONILIT AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE a OFFICER/MEMBER EXCLUDED? (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 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Fort Collins, Admin Services Purchasing Division are included as Additional Insureds on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. 1ILr1 a:i 11 a L7_\ I M: NJ 4114: h_L:Lr13Sw_UN1i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Admin Services Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 //& USA ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2018spm60 56129761 V 00 z LLJ