Loading...
HomeMy WebLinkAboutENGINEERED DEMOLITION INC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE DATE o7/za/2o1s 24120I19 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 terns 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 CONTACT NAME: Santa PrOCk Moody Insurance Agency, Inc. AHC ONE Ezt: (303) 824-6600 IANo: (303) 370-0118 8055 East Tufts Avenue E-MAIL ADDRESS: sanI p y a. rock mood ins.com Suite 1000 INSURER(S) AFFORDING COVERAGE NAICAl Denver CO 80237 INSURERA: Crum & Forster Specialty - 44520 INSURED INSURERS: Cincinnati Indemnity Company 23280 Engineered Demolition, Inc. INSURERC: Pinnacol Assurance 41190 PO Box 270627 INSURER D : INSURER E : Littleton CO 80217 INSURER F: COVERAGES CERTIFICATE NUMBER: 19120 Master COI REVISInN NUMRFR- THIS IS TC CERTIFY THAT THE POLiCIEES OF iNSuRANCE LIS T EU 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 AUUL1ZUftK INSD WVD POLICY NUMBER POLICY F MM/DD/YYYV POLICY EX MMIDD/YYYY LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR EPK127663 08/01/2019 08/01/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES(ES occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER POLICY © JE° LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ 2.000,000 $ g AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-0WNED AUTOS ONLY HAUTOS ONLY ENP0166539 08/01/2019 08/01/2020 COMBINED SINGLE LIMIT Ea accdent s 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ A UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EFX113173 08/01/2019 08/01/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ 0 s C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYCER/MEMBER/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) I ves. desrnbe under DESCRiPTiON OF OPERATIONS below NIA 4141571 08/01/2019 08/01/2020 X STAT TE ERH E.L. EACH ACCIDENT $ 1,000,000 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) City of Fort Collins 222 Laporte Ave. Fort 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD