HomeMy WebLinkAboutHEATH CONSTRUCTION LLC - INSURANCE CERTIFICATEPs2aoez 2
ACOR& CERTIFICATE OF LIABILITY INSURANCE
10 08/(NW20019 n
THIS CERTIFICATE IS ISSUED AS A NATTER 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: N the certificate holder Is an ADDITIONAL -INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed
H SUBROGATION IS WAIVED, subject to the terms and conditionsof 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 endorseme s .
PRODUCER - 1-303-534-4567
na, 1ac. - Colorado Division
1705 17th St Ste 100
Denver, CO 00202
E:
PHONE FAX
.
DoREsa: DenAccountTacbsaimacory.com
INSUIRER(S)AFFORDING COVERAGE
NMC4
mSURERA; HANTBOAD FnM IN CO
19682
INSURED
Heath Construction, LLC dba SaundersHeath
1212 Riverside Avenue, Suite 130
- -
Fort Collins, 00 80524
INSURERB: TA01®OLL INS CO (Hartford Tnwuraace Co)
27120
IxauREa cRIDURANCH AHM INS CO
10641.
INSURERD: PnwICOL ASSUR
41190
INSURERE.
INSURER F:
rfMPRAr,Fs CERTIFICATE NUMBER: 54528e15 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL06VHAVE -BEEN -ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY _REOl11REMENT,.TERM OR CONDITION OF ANY CONTRACT OR, OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE.AFFOROED 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.
LTR
TYPE OF DISURANCE
ADM
SUBIR
POLICYNUKM
POLICYEFF.
PmLICY.EXP
LIMITS
A
1
COYIMNCIALOENERAL UUNIM
CLAIMSLIADE a OCCUR
$5,000 FD Deductible
34DE1LZT7859
04/30/19
04/30/20
EACH OCCURRENCE
f 1,000,000
DAMAGETO
PREMISES
f 300,000
1
MEDEXP(Any mIpe )
f 10,000
PERSONAL 4ADV INJURY
f 1,000,000
GENL AGGREGATE LIMIT APPLIES PER
POLICY O JEPRO-
CT LOC
OTHER
GENERAL AGGREGATE
f2.000,000
PRODUCTS -COMPoOP AGG
f 2,000,000
f
IS
AUTOMOBILE
11 ANY AUTO
OWNED SCHEDULED
1 OS
AUTOS
D ONLY 1 AUTNOW�
AUTOS ONLY AUTOS ONLY
34THUT7060
04/30/19
04/30/20
MBINE INGLE LIMITtEn
f 1,000,000
BODILY INJURY (Pa peon)
f
BODILY INJURY ft aaiden0
f
PROPERTY DAMAGE
Rerf
s
C
'E
DYNOFII•
- Lug
EXCESS UAB
i
OCCUR
CLAIMS -MADE
MSC30000649201
04/30/19
04/30/20
EACH OCCURRENCE
f 10,000,000
AGGREGATE
f 10,000,000
DED RETENTION
f
D
AMD Mpg r LIABILITY
ANYPROPRIE7'ORIPARTNHLEXECU IVE Q
EXCI'l�4
In NH)
nyyaeee4eudbe aWw
DESCRIPTION OF OPERATIONS behw
NIA
3096125 - Colorado
10/01/19
10/01/20
XTSERTUTE OTH-
TA ER
El. EACH ACCIDENT
f 1,000,000
E.L.PoWdwy DISEASE -FA EMPLO
f. 1,000,000
E.L. DISEASE - POLICY UMIT
f 1, 000,000
-Ti
DESCRIPTION OF OPERA710N8/ LOGTNINS I VEHICLES (ACOR0101, AtldMelul Ramerb 8daduM, a.y es etlrJYd a lose epepe a lepexed)
RE. Contractor License.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Attu: Delynn Coldirou
PO BOX 580 AUIIIORERQEDREPRESENTATIVE
Fort. Collins, CO 60522-OSSO
Des [[[
0 INS-2015 ACORD CORPORATION. AB'r)ghts reserved.
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ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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