HomeMy WebLinkAboutHEATH CONSTRUCTION LLC - INSURANCE CERTIFICATE (3)FP51600 2
AC R& CERTIFICATE OF LIABILITY INSURANCE
a10/ oa" 20 9"'
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: N the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or tie endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cortaln policies may require an endorsomeft A statement on
this certificate does not confer rights to the eertlBcate holder In lieu of such endorsome s .
PRODUCER 1-303-534-4567
T31A, Inc. - Colorado Division
- _
.CONTACT
NAMED
PHONE FAr
No:
EyAIL SS: DenACCOUntTBChBRimaCCrp.c=
1705 17th St Ste 100
INSU AFFORDINORDIN GCOYERAOE
NAKa
INSURER A;: BABTPORLD FI1W IN 00
29682
Denver, CO 80202
INSURED
INSURER B:. TRDADIOLL INS CO (Hartford Insurance CO)
27120
D18URER C :. ENDDRANCB AMER INS. CID
10641
Reath Construction, LLC dba SaundersueatL
INSURERD: PnM COL ASaOR
41190
1212 Riverside Avenue, Suite L30
.INSURER E :.
INSURER F:
Port Collins, CO 80524
COVERAGES CERTIFICATE NUMBER: 57528820 REVISION.NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE, LISTED _BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD
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:
INSR
1R
TYPE OF INSURANCEIUAII
POLICY NUMBER
POLICYEFF
POLICY ESP
Lam
A
E
-
COMMERCIAL GENERAL LIABILITY
34OBAZT7659
04/36/19
04/30/20
EACH OCCURRENCE
f 1,000,000
-
CtAIMSWDE FX7 OCCUR
PREMISES Ma
300,000
E
NEDEXP(Myone )
f 10,000
$5,000 PD Deductible
PERSONAL 4ADV INJURY
f. 1, 000,000
GFNL AGGREGATE LIAR APPLIES PER:
.GENERAL AGGREGATE
f 2,000,000.
PRODUCTS-COMP/OP AGO
f 2, 000, 000
POLICY 1�1 JPO-
ECTT LOC
f
OTHER
I
B
AUT'OYOBLE LUIBLIN
34UHAZT7860
04/30/19
04/30/20
COMBINED SINGLE LaAR
s
S 1,000,000
BODILY INJURY (Pow peam)
f
ANY AUTO
BODILY [NARY (Pw acddwQ
f
OWNED SCHEDULED
1E AUTOS ONLY AUTOS
E HIRED E NON-0NMED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
s
f
C
E
nnaae„ UAB
OCCUR
XBC36000649201
04/30/19
04/10/20
EACH OCCURRENCE
f 10,000,000
AGGREGATE.
f 10,000,000
EXCESSLIAB
rl
CLAINSNAOE
DELI I I RETENTION
f
D
WORIOUICOMPENSATION
AND EMPLOYERS' LIABILITYYIN
ANYPROPRIETORIPARTNERIE%ECUTIVE O
OFFICERIMEMBEREXCLUDED?
pUnddw
NIA
3096125 -Colorado
10/01/19
10/01/20
E POTEARTUTE FOR
_
E.L. EACH ACCIDENT
f 1,000,000
E.L. DISEASE -EA EMPLOYEE
f 1,000,000
I E.L. DISEASE -POLICY LIMIT
f 1,000,000
OESCR OF OOPERATIONS balm
-DESCRIPTION OF OPERATORS LOCATIONS I VEIBQFB (ACORD 101, AddMmld Remarks Swdodule, wary be aBachad N nroro spew Is wgWre_*
City of Port Collins and State of Colorado are included as Additional Insureds on the General and Automobile Liability
Policies if required by written contract or agreement =4 with respect to work performed by Insured subject to the
policy terms and conditions;.
7675 South Transit Center - Bike Shelter
of Fort Collins
Laporte Ave.
Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EEPIRATLON DATE THEREOF,. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
5 ACORD CORPORATION. All rights reserved.
R
N
9
W
ACORD 25 (2016103)
2018spm60
57520820
The ACORD name and logo are registered marks of ACORD