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HomeMy WebLinkAboutDON KEHN CONSTRUCTION INC - INSURANCE CERTIFICATE (8)fP1:wwLN. 4A9f12 nn W l[CYOr` ACORD. CERTIFICATE OF LIABILITY INSURANCE _ sFim-/2 i20119 ) 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, If SUBROGATION IS WANED, subject to the terms and conditions the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Holmes Murphy - Colorado 7600 East Orchard Road, Suite 230 South „�: Colleen Luther - P" No : 720 458-5744 No: noon SS: m cluther@holmesmurphy.co Greenwood Village, CO 80111 INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A: PlnrlacoLAssurance .Company 41,190 INSURED Don Kahn Construction, Inc. 6550 4. County Road 5 Fort Collins, CO 80528 INSURER B : .INSURER c INSURER D :. INSURER E INSURER F.: Pn1 DACCQ CCMTIMV-ATR NI INFIRM. NFVINIIIN NIIM6FM[ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD - INDICATED. ANY 66OR OTHER CURtNT WITH RESPECT TO WHICH THIS CERTIFICATE MAO4Y 6 ISSUED OR MAY PEURTAIN, THE INS ONCE AFFORDED BY THE PLO CIES DESCRIBED OHEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN SUB yyyp .POLICY NUMBER POLICY EFF MMM POLC XE PY M LIMITS -COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH $ �ACCOECTCURRENCE PREMISES Ee oaurrerice $ MED EXP (Any one person) $ PERSONAL B ADV. INJURY $ GEML AGGREGATE LIMIT APPLIES PER PRO - POLICY 7 JECT 7 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS -COMPIOP.AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ESINGLE LIMIT MBINED COBIND accident) BODILY INJURY (Per person) $ BODILY INJURY(Par accident) $ PR�OPPEERr DAMAGE $ _ $ UMBRELLA LAB EXCESS LLAB OCCUR CLAIMS -MAD I - EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $. $ A WORKERS COMPENSATION AND EMPLOYERS' UABWTY ANY PROPRIETORIPARTNERIEXECUTNE Y I" OFFICERIMEMBER EXCLUDED? y (Ntandatury In NH) Ifyes. describe under DESCRIPTION OF OPERATIONS below NIA X 2093960 1010112019 10/01/202 oTH- X PERmIjF ER E.EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE s500OOO I E.L. DISEASE - POLICY LIMIT 1$500,000 DESCRIP'nON OF OPERAIiONS I LOCATIONS I VEHICLES (ACORD 101, Addidorial Project Description: 2016 Aggregate Supply Remarim Schedule, maybe attached U more space is required) The City of Fort Collins Purchasing Department PO Box 560 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS., AUTHORIZED REPRESENTATIVE ACORD 25 (2016/01) 1 of 1 The ACORD name #S478239IM478109 ©1988-2015 ACORD logo are registered marks of ACORD MANV7 All rights reserved.