HomeMy WebLinkAboutCOLARELLI CONSTRUCTION INC - INSURANCE CERTIFICATEMum 2
ACORhr CERTIFICATE OF LIABILITY INSURANCE
07/2019
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(SA AUTHORIZED
REPRESENTATIVE OR -PRODUCER, AND THE CERTIFICATE HOLDER. _
WPORTANT: N Ure corfifieate holds► is an ADDITIONAL INSURED, the polig(tes) musthave ADDITIONAL INSURED- piovleloes ow be endorsed:
It SUBROGATION IS WAIVED, subject to the terms and condlNons of th policy, certain policies may require an endorsemaM. A stetemeM on
Oft eeNfleate does not eordv to the eertifieale holder In Hsu of such endoreelnaR s .
PRODUCER 1-303-534-4567
nw, Ina• - Colorado Division
CONTACTNAME,
PHONE FAX
1705 17th 8t Ste 100
EDD DenhoccuntTechealmacorp.Com
INSURER(B) AFFORDING COVERAGE
RMA
MURERA: VALLEY FORGE INS CO (CUR)
20508
Deaver, CO 80202
D
INSURERS: CONTnUSTAL INS CO (CNA)
35289
Colarelli Construction, Inc.
INSURER C: COLPfItD1SYfAL INS CO (CNA)
3$289
INSURERD:. PILRDICOL ASSOR
61190
111 S. Tejon Suite 112
INSURER E:
Plaza of the Rockies North Tower
INSURER F:
Colorado Springs, CO 60903
COVERAGES CERTIFICATE NUMBER: 57525419 REVISION NUMBER_
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER.DOC IMENT 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.
R
LI
TYPE OF INSURANCE
POLICY NUMBER
POLICY FF
POLICY
LAIRS
A
Z
COYIEBCIALOBORALLIA80JTY
CLAIMS. Q ooam
PD Dud} $5.000
6010523809
02/Ol%19
02/Ol/70
EACH OCCURRENCE
f 1,000,000
DAMAGE TO FEM
$ 1001o00
Z
MED EXP ms )
t 15,000
PERSONAL A ADV SUURY
S 1,000,000
OENLAGGREGATE LIMIT APPLES PER
PRO -
POLICY LOC
OTHER
GENERAL AGGREGATE
S 2.0 0,060
PRODUCTS.COMPIOPAGG
S 2,000,000
$
R
AUTOMOBILE L1A86lIY
IANY AUTO
OWNED SCHEDULED
ONLY AUTOS
Z NON-0NMED
AUTOS ONLY - AUTOS ONLY
._
5099533203
02/01/19
02/01/20
COMBINED SINGLE LIMITMe
$ 1, 000,000
BODILYMJURY(Perpm m)
S
BODILY INJURY (Per xddwM�
PROPERIYDAMAGE
s
C
Z
UmWEL Awk
ENCEUUAB
rd
06CUR
ggpASMADE
5099533198
02/02/19
02/01/20
EAplpccORRENCE.
: 5,000-000
AGGREGATE
S 51000,000
DIED IZ I RETENTION 10,000
:
DAND
OYC I, LIABILITY WORKERS106581E
EMPLYIN
OFT'ICEHI/EA®EItIXCLW ED't
� 9E)
peyme�baurybNLO
ROE =00OOP9UTIONSIalmrr
NIA
30/01/19
10/61/20
Z TX TE ER
EL. EACH ACCIDENT
i 500,000
E.L. DISEASE -FA EMPLOYE
S 500,000
I EJ- DISEASE -POLICY UNIT
S 500,000
i
DEW.FMn Oe OFOMMM Ms ILOCATIONS/VEICRF.SIACONO lot, Assomnlaemla SeNmdeM, mqr he teeclitd Imne_tpob n"wo
City of Port Collins le included as Additional Insured an the General and Automobile Liability Policies if required by
mitten contract or agreement and with respect to Mork performed by Insured subject to the policy terms and conditions.
of Port Collins
N College Ave
Soz 580
Collins, CO 80526
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATNON DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROYisms.
//�
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ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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