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HomeMy WebLinkAboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATE (6)ACORD, CERTIFICATE OF LIABILITY INSURANCE Ion/zol9 DATE (MM/DD/YYYY) 4/23/2019 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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 CONTACT NAME: H EFAIr AIC No Ext : A/C No E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: Valley Fore Insurance CompanN 20508 INSURED The Bauen Corporation 1034092 801 E. 52nd Ave. Denver, CO 80216 INSURER B : The Continental Insurance Company 35289 INSURER C : Pinnacol Assurance Company 41190 INSURER o : AXIS Surplus Insurance Company 26620 E: -INSURER INSURER F : C-0VFRArFC RAI I('(-)01 CFRTIFICATF Nl1MBFR: 1991907 REVISION NUMBER: XXXXXXX 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N 4021109791 I 5/1/2019 5/l/2020 EACH OCCURRENCE 1,000.000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY N N 4021110598 5/1/2019 5/1/2020 Eaaocld.nISINGLEUMIT $ 1 000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX $XXXXXXX 13 X UM13RELLALIAS EXCESS LIAB OCCUR N N 4021109807 5/1/2019 5/1/2020 EACH OCCURRENCE $ 5 00O 000 NCLAIMS-MADE AGGREGATE $ 51000,000 LED I RETENTION $ $XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FN (Mandatory in NH) It yes. describe under DESCRIPTION OF OPERATIONS below N / A N 2127630 10/1/2018 10/1/2019 X ISEATUTE ER E.L. EACH ACCIDENT $ 1 000000 E.L. DISEASE - EA EMPLOYEE 1 000 000 E.L. DISEASE - POLICY LIMIT 1,000,000 D Pollution Liability N N CP002393022018 5/I/2019 5/1/2020 Linut: $1,000,000 each claim Ded:S10,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER LANL tLLAIIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1991907 AUTHORIZED REPRESENTATIVE City of Fort Collins P.O. Box 580 Fort Collins CO 80522 _ ACnRn 25 12n16/n3i ©1988-20 5 ACORb CORP RATION. All rights reserved The ACORD name and logo are registered marks of ACORD