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HomeMy WebLinkAboutBEMAS CONSTRUCTION INC - INSURANCE CERTIFICATE (3)ACOR�` CERTIFICATE OF LIABILITY INSURANCE DATE (MM,OD,YYYY) 1011 /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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: IMA Denver Team MA, Inc. - Colorado Division PHONE - FAX 1705 17th Street, Suite 100 303-534-4567 (A.'C, No E-MAIL Denver CO 80202 ADOREss: DenAccountTechs@imacorp.com INSURED Bemas Construction. Inc. 80 Inverness Drive East Englewood CO 80112-5114 INSURERS)AFFORONG COVERAGE INSURER A: Liberty Mutual Fire Insurance Company BEMACON INSURERS: Llbertylnsurance Corporation INSURERC: Pinnacol Assurance INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER: 1933684445 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 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. LET TYPl OFINSURANCE ADDL',SUBRi rPOLICYEw— POLICYF-1rP_I IN§Qv POLICYNUMBER MMIDO/YVY MM/DDIVYYV LIMITS A X COMMERCIAL GENERAL LIABILITY TB2Z91463096029 9130/2019 9/30/2020 EACH OCCURRENCE $1.000,000 _ CLAIMS -MADE X OCCUR PREMISE6 Ea cerAlrrenca $100.000 -_ E 5.000 X BIIPO Ded:E10000 _ _ _ VIED EXP (Any one person) E1,0001000 PERSONAL& ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000.000 POLICY JET � LOC ,_PRODUCTS-COMP/OPAGG E OTHER: A AUTOMOBILE LIABILITY AS2Z91463096019 9/30/2019 '. 9I30(2020 COMBINED SINGLE LIMIT E� acddent E 1,000,000 X ANY AUTO BODILY INJURY (Par Person) E OWNED SCHEDULED BODILY INJURY (Per axdan0 E AUTOS ONLY AUTOS X AUTOS ONLY X AUTOS ONNON-OWNLDV -_(P_era(Lda DAMAGE JI _ E -- E B X UMBRELLALIA! X OCCUR TH7Z91463096039 9/302019 9130/2020 EACHOCCURRENCE E10,000,000 AGGREGATE E 10.000,000 EXCESS LIAR CLAIMS_ -MADE DED X RMNTIONSn E C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR,PARTNERiEXECUTIVE Y 4032634 10/l2019 10/12020 X STATUTE ER E.L. EACH ACCIDENT $1.000,0.00 OFFICERIMEMBER EXCLUDED? (Mandatory In NH)'. NIA E.L. DISEASE EA EMPLOYEE E 1.000.000 11 yyas, describe under DESCRIPTION OF OPERATIONS DeIOW E.L. DISEASE POLICY LIMIT E 1,000.000 A Physical Damage AS2Z91463096019 9/30f2019 I 9/3012020 Comprehensive C01115IDn E1 000 Ei 000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) `General Liability shall be applicable to offsite coverage subject to the terms and conditions of the policy, If required by written contract or agreement 'Per the policy terms and conditions, XCU IS NOT EXCLUDED FROM CONTRACTORS LIABILITY. Pollution Liability Coverage Policy # MP19ECP3004051C Effective Dates. 09130/19-09130121 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... CERTIFICATE HOLDER 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 25' of 51 1315