HomeMy WebLinkAbout101137 PINKARD CONSTRUCTION - INSURANCE CERTIFICATE (5)ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE IMM,DD.YYYY) 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: 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 endorsements . PRODUCER NAME: IMA Denver Team_ IMA. Inc. - Colorado Division PHONE FAX 1705 17th Street, Suite 100 • 303-534-4567 AC.N : Denver CO 80202 ADDRESS: DenAccountTechsaimacorp.com INSURED rirvnuury INSURERS: Libedy Insurance Corporation Pinkard Construction Co 9195 West 5th Avenue INsuRERc: Pinnacol Assurance Lakewood CO 80215 INSURERD: Indian Harbor Insurance Company COVERAGES CERTIFICATE NUMBER: 1064192370 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. INaR A136L POLICY�EFF a__PO V � �—_.. ___� LS TYPEOFINSURANCE POUCYNUMlER MM/D /YY A X COMMEROALGENERALLIABILfrY TB2Z91469683028 1111/2018 11/112019 EACHOCCURRENCE $1.000.000 CLAIMS•MADE rj� OCCUR PREMI E E ocourrencel $100,000 MED EXP (Any one arson) $5,000 PERSONAL S ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 POLICY jEC07 LDC PRODUCTS - COMP/OP AGO a 2.000,000 $ OTHER: A AUTOMOBILE LIABILITY AS2Z91468683016 11/1/2018 1111f2019BOSINGLELIMIT $1.000,000 BODILY INJURY (Par person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Pp accident)S PROPERTY DAMAGE Per ctiden S HIRED NOWOWNED X AUTOS ONLY X AUTOS ONLY 5 8 X LMRELLALIAR X OCCUq TH7Z914696B3038 11/1/2018 11/1/2019 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS•MADE DEO I X RETENTIONS in ritin S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOWPARTNER/EXECUTIVE 2321400 1011/2019 10/112020 X H• AT TE E.L. EACH ACCIDENT $500,ODO OFFICERIMEMBEREXCLUDED7 FT1 (Mandatory In NH) NIA ! E.L. DISEASE - EA EMPLOYEE $ 500,000 II yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 D ProfesswnWBPollution CE0744678102 Liability Coverage R aim 1111/2018 11/1/2D19 [PA-,g1.CaA,, $25.000 $3,000,000 Gums Mace Ream Data 01/01/62 g $3.000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 8 more space is required) RE License #A-71 Builders Risk Coverage: Pollcy#7100302480008 Eff Dates. 11/01/18-11/01119 Insurer D: See Above $25,000.000 Any One Location (Non -Frame) Limit; $6,000,000 Any One Location (Frame) Limit $25,000.000 Per Disaster Limit; $500,000 Temp LocatlonlTransit Limit; $2,500 Deductible; SPC Form '$5,000,000 Earthquake/Rood (Non -Frame Construction) Limit;'$25,000 Deductible "$5,000,000 Earthquake/Flood (Frame Construction) Limit; "$25.000 Deductible $1,000.000 Soft Costs Limit- 5 Day Waiting Period See Attached... City of Fort Collins 281 N. College Ave P.O. Box 580 Fort Collins CO 80522-0580 USA 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4' of 51 1315