No preview available
HomeMy WebLinkAbout101137 PINKARD CONSTRUCTION - INSURANCE CERTIFICATE (6)DATE (MM,DD.'YYYY) ACORO� CERTIFICATE OF LIABILITY INSURANCE Ill 1 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 pollcy(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 riahts to the certificate holder In lieu of such endorsement(s)- PRODUCER IMA, Inc. - Colorado Division 1705 17th Street, Suite 100 Denver CO 80202 INeURERA: Liberty Mutual Fire Insurance Company 23035 INSURED PINKCON INSURERS: Liberty Insurance Corporation _ 42404 Pinkard Construction Co. _ 9195 West 8th Avenue iNsuRERc: Pinnacol Assurance 41190 Lakewood CO 80215 I iNsuRiERo: Indian Harbor Insurance Company 1 36940 COVERAGES CERTIFICATE NUMBER: 1777033232 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 REDUC�ED BY PAID CLAIMS. INBR TYPE OFINSURANCE LB POLICY NUMBER MM GDIYYYY I M/UDD(YYYP tJMITB LTR A X . COMMERCIAL GENERAL LIABILITY TB2Z91469683028 11112018 1111/2019 EACH OCCURRENCE $1.000.000 CLAIMS -MADE I -XI OCCUR DAMAGE TO RENTED PREMISE Eaoccurrence $100,000 MED EXP (Any one son) $ 5,000 PERSONAL 6 ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,D00 POLICY JECOT LOC PRODUCTS - COMP/OP AGG $ 2.000,000 $ OTHER: A AUTOMOBILE UABILITY AS2Z91469683018 11/1/2018 11/1/2019 eMBIN DSINGLELIMIT $1.000,000 BODILY INJURY (Par person) $ X ANY AUTO OWNED ' SCHEDULED AUTOS ONLY - AUTOS BODILY INJURY (Per accKlen0 $ (740, RT DAMAGE $ X AUTOS ONLY x NON-OWNED UT 5 ONLY $ B X UMBRELLA LIAS X OCCUR TH7Z91469683038 11/12018 11/112010 EACH OCCURRENCE $10.000,000 AGGREGATE $10,00D,000 EXCESS LIAR CLAIMS -MADE DEC I X I RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANYPROPRIETOFDPARTNER,EXECUTIVE YIN 232140D 10/12019 10/l2020 X A TE R E.L. EACH ACCIDENT $500,000 OFFICERIMEMBEREXCLUDED? NI (Mandatory In NH) N/A - E.L. DISEASE - EA EMPLOYEE $ 500,000 _ E.L. DISEASE -POLICY LIMIT II as, describe under DESCRIPTION OF OPERATIONS Ixiow $ 500,000 D Prcfesuonal a Pollution Liability Coverage Claims Made Reco Date 01101/52 CE0744678102 11/1/2018 11/1/2019 SIR Per Claim Aggregate $25,000 $3,D00,000 $3.000,000 DESCRIPTION OF OPERATIONS , LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attechod B more apace Is required) Builders Risk Coverage. Policytf7100302480008 EH Dates 1110111B-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 Tamp Location/Transit Limit; $2,500 Deductible; SPC Form "$5,000,000 Earthquake/Flood (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 Crime: Policy*106400473 Effective Dates:11101/2017 11/01/2020 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. 281 N. College Ave P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 USA llx © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2'of SI 1315