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HomeMy WebLinkAbout181114 KRISCHE CONSTRUCTION INC - INSURANCE CERTIFICATEP52(0)28IO2 DATE(MMIDD/YYYY) AC(7R0 CERTIFICATE OF LIABILITY INSURANCE 06/27/2019 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 CONTACT NAME: IMA, Inc. - Colorado Division PHONE FAX -- I, No): E-MAIL donaccounttechs@imacorp.com 17th St Ste 100 aDOREss: r'p•com INSURERS AFFORDING COVERAGE NAIC 0 Denver, CO 80202 INSURER A:WESTFIELD NATL INS CO 24120 INSURED INSURERB: PINNACOL ASSUR 41190 Rrische Construction, Inc. --- INSURER C : 605 Weaver Park Road INSURER D: _ INSURER E : Longmont, CO 80501 INSURER F: COVERAGES CERTIFICATF NIIMRFR- 56585543 RFVISION NIIMRFR- 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. IPOLICY �TR TYPE OF INSURANCE AO L SU POLICY NUMBER M PODD EFF EXP MMIDD/ YY LIMITS A X COMMERCIAL GENERAL LIABILITY X CMM6404291 07/01/19 07/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I OCCUR AMA-6� ib RENT€ PREMISES Ea occurrence $ 500, 000 X MEO EXP (Any one person) $ 10,000 PD Dad: $2, 500 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER! GENERAL AGGREGATE $ 2,000,000 POLICY PRO JECT LOC PRODUCTS DUCTS - COMP/O $ 2,000,000 _ $ OTHER: A AUTOMOBILE LIABILITY X CMH6404291 07/01/19 07/Ol/20 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED F SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED I X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB X OCCUR CMM6404291 07/01/19 07/01/20 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS UAB _ CLAIMS -MADE DED I X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUE Y (Mandatory in NH) NIA 4058925 07/01/19 07/01/20 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 WC - If Yes Vice President I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Fort Collins is included as Additional Inaured 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. CERTIFICATE HOLDER CANCELLATION 4E: Garden on Spring Creek. �ity of Fort Collins Laporte Ave Collins, CO 80522 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 USA / / ///� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD francine 56585543