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WANER CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (3)
P5260028002 ACURDI® CERTIFICATE OF LIABILITY INSURANCE ILN.�- 02/26/2019'' r 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 AIC.No.EM-- ----- _._ No 1705 17th Street E-MAIL ADDRESS: denacconittechs0imacorp. cam INSURER(S) AFFORDING COVERAGE NAIC / Suite 100 _ INSURERA: NATIONAL FIRE INS CO OF EARTFORD(CNA) 20478 Denver, CO 80202 INSURED — - — - INSURERS: CONTINENTAL INS CO (CNA) 35289 Waner Construction Company, Inc. INSURER CPINNACOL ASSUR 41190 INSURERD: TRAVEL PROP CAS CO OF AMER 25674 8950 Barron Blvd, Unit 103 INSURER E : _ 1 INSURERF: Highlande Ranch, CO 80129 COVERAGES CERTIFICATE NUMBER: 55457755 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER MPNOIUDDY EFF MWDI DYE LIMITS LTR A x COMMERCIAL GENERAL LABILITY 2092449581 03/01/19 03/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Ix I OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 x MED EXP (Any one person) f 15,000 PD Deds $2, 000 PERSONAL 4ADVINJURY $ 1,000,000 GENLAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY CT a LOC PRODUCTS -COMPIOPAGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 2092449595 03/01/19 03/01/20 COMBINED SINGLE LIMIT _L accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) { PROPERTY DAMAGE Per accldenl $ x HIRED Ix NON -OWNED AUTOS ONLY AUTOS ONLY S B x UMBRELLALIAB x OCCUR 2092449578 03/01/19 03/01/20 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LUB CLAIMS -MADE DIED I x RETENTIONS 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LUIBILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE [Ni] OFFICER/MEMBEREXCLUDED7 (Mandatory in NH) NIA 4107186 03/01/19 03/01/20 -'I STATUTE ER _ - i 500,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500, 000 If yes, describe under DESCRIPTION OF OPERATIONS belm DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate Holder is included as Additional Insured 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. CFRTIFICATF Hni nFR CANCELLATION 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. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0000 USA 111 ACORD 25 (2016103) 2018spm60 55457755 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD