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HomeMy WebLinkAboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATE (7)AGUKUn CERTIFICATE OF LIABILITY INSURANCE DADD/YYVY) s/lnozo 9/19//19/2019 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(les) 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 endorsemerd(s). PRODUCER Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 MCONTACT ai FAX aC No Ext: ANo: E-MAIL COVERAGE (303)414-6000 INSURER A: Valley Forge Insurancc CornDany 20508 INSURED The Bauen Corporation 1014092 801E Denver,,COCO 80216 80 INSURERB: The Continental Insurance Company 35289 INSURERC: Pinnacol Assurance Com arl 41190 Ns R AXIS Surplus Insurance ConnDany 26620 INSURER INSURER nur�n. �vtiiv���ntt 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. ILTR NS R TYPE OF INSURANCE ADD INSE SLIB POLICY NUMBER POLICY EFF MMIDDrYYYY PO ICY E%P LIMBS ,A X COMMERCLALGENERAL LIABILITY CLAIMS -MADE OCCUR X N N 4021109791 5/I/2019 5/1/2020 EACH OCCURRENCE s 1 000000 DAMAG TO RENTED R M a o'ciinencel $ 100,000 MED EXP (Any oneperson) 15,000 PERSONAL &ADV INJURY $ 11000.000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICYJPERD ❑ LOC OTHER: GENERAL AGGREGATE $ 21000,000 PRODUCTS - COMP/OP AGG s 2 000 000 $ A AUTOMOBILE LIABILMY AUTO SCHEDULED AUTOS ONLY AUTOS ONLY HIRED X AUTOS ONED LY N N 4021110598 5/1/2019 5/1/2020 COMBIN D SINGLE LIMIT $ 1000 000 BODILY INJURY (Per person) $ XXXXXXXOWNED JXANV BODILY INJURY (Per accident $ )C)C)C)C){}�(AUTOS PROPERTY DAMAGE Pe n $ XXXXXXX $ )(){)()I XY-X B ){ UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMSMADE N N 4021109807 5/1/2019 5/1/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE E 5 000 000 DED I I RETENTIONS $ XXXXXXX L. WORKERS COMPENSATION AND EMPLOYERS'LWBILrrY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? N (MYaaNtary in NM It DESCRIPTION OF OPERATIONS ENaw N / A N 2127630 10/1/2019 10/1/2020 _ X I STATUTE R E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE. EA EMPLOYEE 1,000,000 E.L. DISEASE -POLICY DMIT l QQQ Q00 D Pollution Liability N N CP002398022018 5/1/2019 5/l/2020 Lmit:$1.000.000 each claim Ded:$10.000 DESCRIPTION OF OPERATIONS I LOCATIOBS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 more apace is required) 1`ullCLLMI IWIV 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 c - ACORD 25 (2016103) ©1988.2015 ACOR6 CORP RATION. All riahts rpsprvpd I me ACORD name and logo are registered marks of ACORD