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HomeMy WebLinkAboutPRADELL BUILDERS INC - INSURANCE CERTIFICATE (3)ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE IMM,00,YYYYI 9/20/2019 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO INSURED Pradell Builders, Inc. 2410 Country Club Loop Westminster CO 80234 Scott Anderson, CIC Pinnacol Assurance Continental Western Ins Co. COVERAGES CERTIFICATE NUMBER- 17QQ75RnRA RFVI5:1()N NIIMRFR- �Nkltb7dtiE1 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. I� TYPEOFINSURANCE - --� - IIN O;ADDL wVBDI POUCYNUMBER MWDDYYYY MMIDDYYYY) UMrrS B X COMMERCIAL GENERAL LIABILITY CLAIMS-MAUE X OCCUR AGGREGATE LENT APPLIES PER PR POLICY jET LOC OTHER: CPA3208036 9/22/2019 i 91222020 EACNOCCURRENCE P�REMIBEB fEa occurrence MED EXP (An one ereon) PERSONAL 6 ADV INJURY GENERAL AGGREGATE PRODUCTS - comp/op AGO Hired E Nonowned $1.000.000 5300,000 E 10,000 E 1.000,000 GENL E2,000,000 E2,000,000 E Included 8 AUTOMOBILE LIABILITY )F ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY CPA3206036 9122/2019 9/22/2020 1 COMBINED SINGLE LIMIT �a a&ddgmtt_ BODILY INJURY (Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE i perideMl __ $1,000,000 5 E E E B X UMBRELLA LIAO X OCCUR EXCESS LIAB CLAIMS -MADE CPA3206036 919 9222020 EACHOCCURRENCE AGGREGATE $5.000.000 $5,000,000 RETEN710NEn E A WORKERS COMPENSATION 4176845 AND EMPLOYERS' LIABILITY YIN ANVPROPRIETOR PARTNER -EXECUTIVE OFFICER: MEMEEREXCUJDED, NIA (mandatory In NH) It Yes. descnoe under DESCRIPTION OF OPERATIONS oalow 211=19 2/1/2020 ;X I STATUTE I I FRTH- E.L. EACH ACCIDENT ----_--- E L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT E1,000,000 —. - ---- E 1,000,000 a 1,ODD,D00 DESCRIPTION OF OPERATIONS r LOCATIONS' VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) City of Fort Collins is included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply I.trt 111'ILA IC. NVLUCM GANIaLLA I IVN City of Fort Collins 281 North College Avenue, PO Box 580 Fort Collins CO 80522-0580 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✓E _ ACORD 25 (201603) © 1988-2015 ACORD The ACORD name and logo are registered marks of ACORD All rights reserved 2 or 2 6909