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HomeMy WebLinkAboutBEMAS CONSTRUCTION INC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE DATE (MM7DOYYYY) 10/112019 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: It 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 """M"'�' NaME: IMA Denver Team IMA, Inc. - Colorado Division PHONE- FAX 1705 17th Street, Suite 100 • 303-534.4567 fA.C. No: Denver CO 80202 AD RESS: DenAccountTechenimacorp.com INSURERS) AFFORDING COVERAGE-- NAIC INSURED BEMAGON msuRER a: Liberty Insurance Corporation 42404 Bemas Construction, Inc. 80 Inverness Drive East INSURERc: Pinnacol Assurance 41190 -- — Englewood CO 80112-5114 INSURERD: CC.VFRAGFS CERTIFICATE NUMBER :229018344 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 REOUIREMENT, 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. IN SR MLOFINSURANCE _. T�LppY� �B —_ YIV POUCYNUmBEF1 D7YV A X COMI111-ALGENER�ALLIABILITY CLAIMS -MADE `X OCCUR �� TB2Z91463096029 9130/2019 9130/2020 LEACHOCCURRENCE •_PREMI E Ea =rrene $1.000,000 $100.000 X i SA00 BIIPD Ded•S10000 - MED EXP (Anyone person) $1,000,000 PERSONAL& ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 GENERAL AGGREGATE $ 2.000,000 POLICY T JEST 7 LOC PRODUCTS - COMPIOP AGO 6 OTHER: A AUTOMOBILELIABIIJTY AS2Z91463096018 9130I2019 9/3020208dINdFD INGLE LIMIT $1,000,000 6 X I ANY AUTO BODILY INJURY (Par person) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Par aocirbntl I PROPERTYDAMAGE Per agggent 8 $ E e X UNBRELLALIAB X OCCUR TH7Z91463096039 9l30I2019 91302020 EACH OCCURRENCE $10,000,000 $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE DEC X RETENTIONS O WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORPARTNER/EXECUTIVE YIN OFFICER'MEMBEREXCLUDED? (Mandatory In NH) N/A 4032634 111112111 1/1/112020 PER X ISTAT TE ER E.L. EACH ACCIDENT $1,000,000 - $1,000,000 E.L. DISEASE EA EMPLOYEE E.L. DISEASE - POLICY LIMIT If yes. describe under DESCRIPTION OF OPERATIONS Oebw $1,000.000 A Physical Damage I AS2Z91463096019 9/30/2019 9130/2020 ComprehemWe Collision $1,000 $1,000 DESCRIPTION OF OPERATIONS 'LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is requbed) `General Liability shall be applicable to offsite coverage subject to the terms and conditions of the policy. if required by written contract or agreement. 'Perthe policyterms and conditions, XCU IS NOT EXCLUDED FROM CONTRACTORS LIABILITY Pollution Liability Coverage: Policy # MP19ECP3004051C Effective Dates 09/30119-09130/21 Insurer: Navigators Specialty Insurance Company $5,000,000 Per Occurrence; $5.000,000 Aggregate; $25,000 Deductible Retro Date: 09/30/09 Site Pollution See Attached... CFRTIFICATF HOI-nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 287 North College Avenue PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 USA //! C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 27' of 51 1315