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Home My WebLink About101137 PINKARD CONSTRUCTION CO - INSURANCE CERTIFICATE (2)AC40R� L CERTIFICATE OF LIABILITY INSURANCE I """'"�'""" 10/2212019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO ATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATI ELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES N T CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED' REPRESENTATIVE OR PRODUCER, AND THE CERTIFICA E 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'conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lleu of such endoreement(s). IMA, Inc. -Colorado Division wione 1705' 17th Street, Suite 100 Nn- Ext1: 303.534-4567 EAIL Denver CO 80202 o DRESS: DenAccountTec Pinkerd Construction Co. 9195 West6th Avenue Lakewood CO 80215 2008102755 23035 42404 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 DR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE 1NSU ANCE 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. WISH I�TR TYPE OF INSURANCE INSO Wv OU&NUMBER MI°auDDm F DIYYY LIMITS A, X COMMERCIAL GENERAL LIABILITY TB2Z9146 663029 11N/2019 11Iff202O EACH OCCURRENCE $1,000.000 F- .CLAIMS -MADE I OCCUR DAMAGE TO RENTED PREMISES Eao nence $100,000 MED.EXP(Any one parwn) $5,000 PERSONAL U ADV. INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPU ES PER: GENERAL AGGREGATE $2,000,000 POLICYIjEOT F7LOC .PRODUCTS'-COMP/OP AGG. $2,000,000 $ OTHER: A AUTOMOBILELABILRY AS5Z9146 663019 11/12019 11/1I2020 0-2; )SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ X ANY -AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED x NON -OWNED AUTOS ONLY, AUTOS ONLY BODILY INJURY(Pm accident) $ PROPERTY DAMAGE. Per. accident) $ $ B X UMBRELLA LAID X OCCUR THIZ9116 131131 11/12019 11/12020. EACHOCCURRENCE $10,000,000 AGGREGATE 810,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION $.in ann II c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECLfTIVE Y�, OFFICERIMEMBEREXCWDED? (Mandatory in NM NIA 2321400 101111011 10/12020 X STATUTE ER EL EACH AOCIOENT $500;000 - E L DISEASE - EA EMPLOYEE —' $ 500,000 DISEASE -POLICY. LIMIT $500.000 If Yes, describe under DESCRIPTION OF OPERATIONSbelowEL. D Professional& Pollution Liability coverage Gaiins Made; Retro.Data: 01/01162 CEC7446 8103 11/1/2019 11/12020 SIR Per Claim Aggregate $25006, $3,600,000 $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additloi at Rat. rks Schedule, may be attached If more apace Is required) RE: License #A-71. Builders Risk Coverage: Policy #7100302480009 Eff Dates: 11101/19-11/0120 Insurer ATLANTIC SPECIALTY NS CO $35 000 000 Any One Location (Non -Frame) Limit; $6.000,000 $35:000:000 Per Disaster Limit; $750,000 Temp Locationfrran ny One Location ,(Frame) Limit t Limit;, $2,500 Deductible; SPC Form "$5,000,000 Earthquake Limit; '$25,000 Deductible "$5,000,000 Flood Limit; "$25,000 Deductible See Attached... rFRTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 281 N. College Ave P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 USA ! !4 01988.2015 ACORD CORPORATION. All rights: reserved. ACORD 25 (2016/03) The ACORD na Is and logo are registered marks of ACORD 4• of 29 558 ACORv AGENCY CUSTOMER ID: PINKCON LOC #: ADDITIONAL REMARKS SCHEDULE i Page 1 of 1 AGENCY IMA, Inc. - Colorado Division NAMED INSURED 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 $1,000,000 Soft Costs Limit- 5 Day Waiting Period Crime Coverage: Policy.#106400473 Effective Dates: 11/01/17-11161/20 Insurer: TRAVELERS CAS & $500,000 Limit; $10,000 SIR Installation Floater/Stored Materials Coverage: Policy #71003024 Effective Dates: 11/01/19-11/01/20 Insurer: ATLANTIC SPECIAL $250,000 Limit; $2,500 Deductible CO OF AMER CO Data Processing Coverage: Policy #7100302480009 1 rates: 11/01/19-11/01/20 Insurer: ATLANTIC SPECIAL INS INS CO ) Limit; $2,500 Deductible and Rented Equipment Coverage: Pol 3. Dates: 11/01/19-11/01120 Insurer: A 10 Limit $2,500 Deductible INS CO cate Holder is included as Additional Insured on the General Liability Policy and Loss Payee on the Leased and Rented and Builders Risk Coverage if ed by written contract or agreement subject to the policy terms and conditions. A Waiver of Subrogation Is provided in favor of Additional Insureds on the al Liability and Workers Compensation Policies if required by written contract or agreement and with respect to work performed by Insured subject to the terms and conditions. ® 2008 ACORD CORPORATION. All rights The ACORD name allid logo are registered marks of ACORD 5' o129 558