HomeMy WebLinkAbout101137 PINKARD CONSTRUCTION CO - INSURANCE CERTIFICATEA�ROr' CERTIFICATE OF LIABILITY INSURANCE VAIL
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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(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and cbndltions of 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 endorsement(s).
PRODUCER
IMA, Inc. - Colorado Division
1705 17th Street, Suite 100
Denver CO 80202
INSURED
Pinkard Construction Co..
9195 West 5th Avenue
Lakewood CO 80215
COVERAGES CERTIFICATE, NUMBER:605457998 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 JOR 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.
IbUISH
�RT
TYPEOFINSURANCE
WV
OLICY NUMBER
M
MLDD
LIMITS
A
X
COMMERCIALGENERALLIABILITY
TB2Z91469683029
11/1/2019
11/112020
EACH OCCURRENCE
$1,000.000
CLAIMS -MADE FTI OCCUR
PREMISES Ea occurrence
$100,000
MED EXP (Any. oneperson)
$ 5,000
PERSONAL 8 ADV INJURY
$1,000,000
GEML AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICYa JECT LOC
PRODUCTS - COMP/OP AGO
$2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
AS5ZB14
9683019
1111/2019
11/l/2020
Ea acOMBINEDSINGLELIMIT
ddent]
$1.000,000
X
BODILY INJURY (Per person)
S
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
IAUTOSONLY
BODILY INJURY(Por acodont)
$
X
PROPERTY DAMAGE
Por ncWdent
$
HIRED X NON -OWNED
AUTOS ONLY
$
8
X
UMBRELLA LIAS
OCCUR
TH7Z91469683039
11/11201.9
11/1/2020
EACH OCCURRENCE
$10,000,000
AGGREGATE
610,000,000
EXCESS LIAB
CLAIMS -MADE
DIED
I X RETENTIONS in nnn
S
C
WORKERS COMPENSATION -
AND EMPLOYERS' LIABILITY / N
ANYPROPRIETOR/PARTNER/FXECUTIVE
OFFICERIMEMBER EXCLUDED?
NIA
2321411
10/112011
1111/2020
X STAT TE ER H.
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
$ 500.000
(Mandatory In NN
If yes. describe undor
DESCRIPTION OF OPERATIONS below
E.L. DISEASE • POLICY LIMIT
$ 500,000
0
Professional ePoWlion
Liability
Gain¢ Made; Retro Date: 01/01182
CE0744478103
1111/2019
-
11/1/2020
SIR
P erClalm
Aggregate
$25,000.
$3,000.000
$3,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Additional
Remarks Schedule, -may be attached If more apace Is required)
Builders Risk Coverage: Policy #7100302480009
Eff Dates: 11/01/19-11101/20 Insurer. ATLANTIC SPECIALT
INS CO
$35,000,060 Any One Location (Non -Frame) Limit; $6,000,000
$35,000,000 Per Disaster Limit; $750,000 Temp Location/i'ransit
Any One Location (Frame) Limit
Limit; $2,500 Deductible; SPC Form
"$5,000,000 Earthquake Limit; '$25,000 Deductible
" $5,000,000 Flood Limit; "$25,000 Deductible
$1,000,000 Soft Costs Limit- 5 Day Waiting Period
See Attached...
Il�
City of Fort Collins
281 N. College Ave P.O. Box 580
Fort Collins CO 80522-0580
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACO,RD 25 (2018(03)
The ACORD
01988-2015 ACORD CORPORATION. All rights reserved.
and logo are registered marks of ACORD
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I \
ACO OR
L -
AGENCY CUSTOMER ID: PINKCON
LOC #:
ADDITIONA REMARKS SCHEDULE
Page 1 of 1
AGENCY
IMA, Inc. - Colorado Division
NAMEDINSURED
Pinkard Construction Co.
9195 West 6th Avenue
Lakewood CO 80215
POLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE:. CERTIFICATE OF LIABILITY INSURANCE
Dates: 11101f17-11/01/20 Insurer: TRAVELERS CAS 8 SURETY CO OF AMER
0 Limit; $10,000 SIR
ion Floater/Stored Materials Coverage: Policy #71003024 0009
) Dates: 11/01/19-11/01/20 Insurer: ATLANTIC SPECIALTY INS CO
0 Limit; $2,500 Deductible
is Data Processing Coverage: Policy #7100302480009
) Dates: 11/01/19-11/01/20 Insurer: ATLANTIC SPECIALTY INS CO
300 Limit; $2,500 Deductible
and Rented Equipment Coverage: Policy #7100302480009
) Dates: 11/01/19-11/01/20 Insurer: ATLANTIC SPECIALTY INS CO
0 Limit; $2,500 Deductible
ed Contractors Equipment Coverage: Policy #710030248g009
)Dates: 11/01/19.11/01/20 Insurer: ATLANTIC SPECIALTY INS CO
176 Limit; $2,500 Deductible
Deductible for Cranes _
bile Physical Damage Coverage: Policy OASSZ91469683 19
Dates: 11101119-11/01/20 Insurer A: See Above
,omprehensive Deductible; $1,000 Collision Deductible
® 2008 Ai
The ACORD name, and logo are registered marks of ACORD
All
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