Loading...
HomeMy WebLinkAbout432047 ALL PHASE RESTORATION INC - INSURANCE CERTIFICATEALLPHAS-14 MHOF DATE(MMIDD/YYYY) 1 10/29/2019 ks CERTIFICATE OF LIABILITY INSURANCE 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 ofsuch endorsement(s). PRODUCER License # 0767776 CAONTACT Heidi Mink PHONE rt FAX A c, No, E: 970), 541.6022 (A/C, No HUB International Insurance Services (COL) 2000 S. Colorado Blvd., Tower 2, Suite ISO Denver, CO 80222 A-pmp4g'Lss, heldi.mink@hubintemational.com INSURERS AFFORDING COVERAGE NAIC X INSURER A: Axis Surplus Insurance Company 26620 INSURED INSURER B.:Employers Mutual Casualty Company 21415 INSURERc: Pinnacol Assurance Company 41190 All Phase. Restoration, Inc.. 7365 Greenridge Rd Suite C INSURER D : INSURER E: Windsor, CO 80550 INSURER F COVERAGES CERTIFICATE NUMBER 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICYEFF. POLICY EXPJOIL _ OMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR SP004208-01-2019 11/1/2019 11/1/2020 _ EACH OCCURRENCE $ 2,000,000 DR AGE TO.RENTED MISES (Ea$ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jpa F—]LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS=COMP/OP AGG $ 2,000,000 $ B AUTOMOBILES LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTNI1O�pSSWWNNEE AUTOS ONLY AUTOSVONLDY 6X12576 11/1/2019 11/1/2020 EOMBINEDISINGLE .LIMIT $ 1,000,000 X BODILY INJURY PerPerson) $ BODILY INJURY Per accident $ PeOraxRd r AMAGE $ A UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE SX004209-01-2019 11/1/2019 11/1/2020 EACH OCCURRENCE S,000,OOO X AGGREGATE $ 5,000,000 DED I I RETENTION $ C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN AQN[Y PROPREIETgOERIPARTNERIEXECUTIVE (MandaW,y9 NH1 EXCLUDED? (M 1 IJF1 u yes, describe under DESCRIPTION OF OPERATIONS below N/A 107070 11/1/2019 11/1/2020 X PERTUTE OTH- ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ oOO,000 I E.L. DISEASE - POLICY LIMB . 1,000'000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) This section intentionally left blank. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED. POLICIES BE CANCELLED BEFORE 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORZ_D REPRESENTATIVE TIVE �yz-n ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD