Loading...
HomeMy WebLinkAboutTAYLOR KOHRS LLC - INSURANCE CERTIFICATE (2)Client#: 1171319 TAYLOKOHI ACORD.,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 912712019 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 certiflcate 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Client Manager USI Insurance Services, LLC ac°"N E,d; 800 873-8500 ac Ne: 303 8 11-5295 P.O. Box 7050 ADS; den.contractors@usi.com Englewood, CO 80155 800 873 8500 INSURER(S) AFFORDING COVERAGE NAIC4 INSURER A: cenm,.M,l Cs.wly Camwro 20443 INSURED Taylor Kohrs, LLC 12160 Pennsylvania St Thornton, CO 80241 INSURERE: Comit^e°tid mapr.nca tanwny 35289 Plnnacal Asaunmoa Company 41190 COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDLSUB yyVl POLICY NUMBER POLICY EFF MM1OD POLICY EXP MMiD LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS•tAADE OCCUR PD Ded:5,000 X X 6014495066 0/01/2019 10/011202C EACHOCCURRENCE$1 000000 PREMISES EaEo arD $1 OO OOO X MED EXP (Any one person) $15 000 PERSONAL B ADV INJURY $1 000,000 GENL AGGREGATE UMIT APPLIES PER POLICY [gJECT LOC OTHER GENERAL AGGREGATE $2000,000 PRODUCTS $2,000,000 $ B AUTOMOeLE LIABILITY ANY AUTO WSDONLY AUTOS HIRED AUTOS ONLY X AUTOS NON-OWNEDS ONLY LY X X BUA6014495049 0/01/2019 10/01/202 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B X UMBRELLA tIAB EXCESS LIAR X OCCUR CLAIMSMADE X X UMB6014495052 0/01/2019 10/01/202 EACH OCCURRENCE $1 O 000 000 AGGREGATE $1 O 000 000 DIED I X i RETENTION$10000 $ c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? YIN � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bakAv N/AE.L.. X 4096033 1010112019 10/0112020 X IM, OTH ER — EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 OOO 000 E.L. DISEASE- POLICY LIMIT $1 000 000 LI DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contractors License City of Fort Collins 215 N. Mason Street 2nd Floor Fort Collins, CO 80524-0000 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 ACORD 25 (2016103) 1 of 1 #S26719471/M26717492 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PJRZP