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HomeMy WebLinkAbout133159 PAUL DAVIS RESTORATION OF FT COLLINS, CO - INSURANCE CERTIFICATEPAULDA-265 CHAF ACOR ®� CERTIFICATE OF DATE (MM/DD/YYYY) LIABILITY INSURANCE 10/1712019 THIS CERTIFICATE IS ISSUED AS A MATTER OF IN ORMATION 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.hglder in lieu of such endorsements . PRODUCER CNT CT - The Loomis Company P&C Division PHONE Pax 850 N Park Road A/C, No, Eat): 610) 374-4040 c, Ne :(610) 376-1049 Wyomissing, PA 1.9610 M IL INSURED INSURER B: Allstate Insurance Company Wild West Restoration Inc. INSURER C: Arch Specialty Insurance Company 21199 DBA Paul Davis Restoration of Ft. Collins, CO 2636 Midpoint Drive, Unit A INSURER D: Pinnacol Fort Collins, CO 80525 INSURERE: Berkley National Insurance Company 38911 INSURER F f1nVF1OAGFQ r`CDTICIr-ATC YI IIUIDDD• DC\AQI/'11d IJI IMDFD- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE (LISTED BELOW HAVE BEEN. ISSUED TO THE INSURED NAMED A13OVE 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 ADOL SUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIALGENERALLIABWTV CLAIMS -MADE ❑X OCCUR X X SP003660022019 10/17/2019 10/17/2020 EACH OCCURRENCE 1,000,000 $ DAMAGE TO RENTED 100,000 MED EXP (Any one.Person) 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLCY a met ❑X LOC GENERALAGGREGATE - $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $2500 deductible B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa c' 1,000,000 $ X BODILY INJURY Per person)$ ANY AUTO X 648831084 10/17/2019 10/17/2020 OWNED SCHEDULED AUTEONS ONLY AUTOS BODILY INJURY Per accident $ pert arE.cld ( AMP.GE $ y�,�ED AUTOS ONLY AUTOS ONLY uninsured mot 1,000,000 C X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE _ $ 2,000,006 EXCESSLAS CLAIMS -MADE 12EMX1 94801 10/17/2019 10/17/2020 DED X_ .RETENTION$ 0 _ _ _ _ D _ WORKERS COMPENSATION AND EMPLDYER5 LABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE W OFFICERIMEMBER EXCLUDED? (Mandatory In ) If yes, describe.under. _. DESCRIPTION OF OPERATIONS below N/A 4213078 - 10/01/2019 10/01/2020 y( PER OTH- LITE ER E.L. EACH ACCIDENT 1;000,000 $ E.L..DISEASE -EA EMPLOYE 11000,000 $ E.L. DISEASE- POLICY LIMIT 1,000,006 A Pollution SPG0366 022019 10/17/2019 10/17/2020 $1M/$21W$5K ded E Bailees MNP 102I1 155 - 50 10/17/2019 10/17/2020 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD101, Additional If required by written contract, the Certificate Holder is an Additional Products & Completed Operations and subject to the terms, condltions,and Remarks Schedule, ma�r be attached If more. space Is required) Insured on the General Liability policy, on a primary & non-contributory basis, including exclusions of the policy. Blanket waiver of subrogation applies to the general liability Blanket Loss Payee applies for contractors' equipment coverage SEE ATTACHED ACORD 101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Ft. Collins & Poudre Fire Authority THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ty ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHOROED REPRESENTATIVE James. R. Loomis ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD