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HomeMy WebLinkAboutPEAK ELEVATOR PERFORMANCE GROUP - INSURANCE CERTIFICATE (6)PEAKE-2 OP ID: AS '`14 "JzLx CERTIFICATE OF LIABILITY INSURANCE �� D05/0312ATE 019Y) 05/03/2019 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 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 endorsements . PRODUCER Brown & Brown of Colorado, Inc 2170 S. Parker Rd Ste 251 ONT NAMEACT Amy Sell PHONE Ext : 720-963 4244 FnAC: 720-962-5142 No Denver, CO 80231 Connor Love l _ADDRESS: asell@bbdenver.com - INSURER S AFFORDING COVERAGE NAIC # INSURER A: Great American Insurance Co. 16691 INSURED PEAK Elevator, LLC 5405 W 56th AVe Arvada, CO 80002 INSURER B: LibertyIns. Underwriters Inc i19917 INSURER C: Pinnacol Assurance Company 41190 INSURER D : Continental Western Ins Co 10804 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ANOL W BDR POLICY NUMBER MM/DDPOLICY/YYYY MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE P(I OCCUR GLP 1324627 01 05/03/2019 05/03/2020 EACH OCCURRENCE $ 1,000,00 DAMAGE T PREMISEST EaRENoccurrEDence $ 300,00 GEN'L X MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC OTHER: Per Elevator GENERAL AGGREGATE $ 10,000,00 PRODUCTS - COMP/OP AGG $ 4,000,00 Agg/Ele $ 4,000,00 AUTOMOBILE X X LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS LX AUTOS CPA3224274 22 05/03/2019 06/03/2020 O aBINEDtSINGLE LIMIT (EaD $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 1000295366-01 05/03/2019 05/03/2020 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 25,000,00 DED X RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE F OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A 4198225 05/01/2019 05/01/2020 I X PER 0 H- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. l.Cf[ I Iri,—A I C MULUMM CITYSDP City's Director of Purchasing and Risck Management 215 N Mason, 2nd floor Fort Collins, CO 80524 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 dW#4/yznaW_ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD