Loading...
HomeMy WebLinkAbout266869 ABS ASSOCIATED BUILDING SPECIALISTS INC - INSURANCE CERTIFICATEACORD., CERTIFICATE OF' LIABILITY INSURANCE DA/29/DD/YVVY) � 5/I/z_n21 4/29/2020 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 poiicy(liis) 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 of such endorsement(s). 8110 E Union Avenue Suite 700 Denver CO 80237 (303)414-6000 INSURED Associated Building Specialties, Inc. 1352712 3764Imperial Street Frederick, CO 80516 Casually Co of America rnVFDAnFC rCDTiCtr`ATC au ilucoo.. 1 AAOG'On4 13e..rere,.r w doers-. V V V V V V v THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD RM INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TE 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. INS TYPE OF INSURANCE A SUBR N CPA3242073-20 POLICY NUMBER POLICY EFF.. 5/1/2020 LICY EXP POLICY 5/l/2021 - LIMITS EACH OCCURRENCE 1000000' A X COMMERCIAL GENERAL LIABILITY Y CLAIMS-MADEFRI OCCUR DAMAGE TO RENTED PREMISES Ea. occurrence 3OO OOO MED EXP (Any oneperson) 5,000 PERSONAL & ADV INJURY $ 1000 000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY E� LOC PRODUCTS :.COMP/ORAGG $.2 OOO 000 OTHER_ _ - $ - - A AUTOMOBILE' LIABILITY Y N CPA3242073-20 5/I/2020 5/1/2021 C MBINED SINGLE LIMIT Ea accident $ 1000 000 BODILY INJURY (Per person) $ XxxXxxx ANY AUTO Ix AUTOS ONLY AUTOSULED BODILYINJURY (Peraaident $ xxxxxxX HIRED - NON -OWNED AUTOS ONLY x AUTOS ONLY PROPERTY DAMAGE Per accident --- $ xxxxxxx. $xxxxxxx. q X UMBRELLALUIB I V IOCCUR N N CPA3242073-20 5/1/2020 5/I/2021 EACH OCCURRENCE $ 10,000,600 H EXCESS LIAR CLAIMS -MADE ZUP-21PI 0I80-20-NF 4,/1/2020 5/I/2021 AGGREGATE - $ 10 000 000- DED RETENTION$ $ XXXXXXX _ C WORKERS COMPENSATION AND EMPLOYERS'LUIBILITY Y/N N 4223411 5/1/2620 5/I/2021 _ X STATUTE GER E.L. EACH ACCIDENT . $ 1000 Ont)0 ANY PROPRIETORMARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ N / A (Mandatory in NH) 11 yes. describe under E.L. DISEASE -EA. EMPLOYEE 1000 L/00 EL DISEASE -POLICY LIMIT1111 1000.000 DESCRIPTION OF OPERATIONS below A Inventory /Stock/ BPP of N N CPA324207340 5/1/2020 5/I/202I $1.308.700 Limit Others - Imperial Location - DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may beattached if more space is required) CITY OF FORT COLLINS IS ADDITIONAL INSURED ON GENERAL, AND AUTO COVERAGE, IF REQUIRED BY WRITTEN CONTRACT AND SUBJF.Cr'i'O THE TERMS AND CONDITIONS OF THE POCKY. I�G�TI Cl/�ATr L,�l Ml m i _ 14095308 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80524 P%LLNDIIIIICII SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE- WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The ACORD name and logo are registered marks of ACORD Attachment Code: D577788 Master ID: 1352712, Certificate ID: 14095308 Associated Building Specialties Inc 3764 Imperial St Frederick, CO 80516-9445 ENDORSEMENT: Blanket Waiver of 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 NCCI #: WC000313B Policy #: 4223411 Lockton Companies, LLC-Denver 8110 E. Union Ave. Suite 700 Denver, CO 80237-2984 (303) 414-6000 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement, applies only to the extent that you perform work under a written contract that requires you to obtain this agreement -from us. This agreement shall not operate directly To any person or organization H and with the insured, which is in Effective Date:May 1, 2020 Pinnacol Assurance has issued this indirectly to benefit anyone not named in the Schedule. SCHEDULE agreed to under a written contract or agreement, as defined above !ct and executed prior to any loss. Expires on: May 1„ 2021 %.ment May 7, 2020 Page 1 of 1 P 7501 E. Lowry Blvd Denver, CO 80230-7006 - Underwriter 05/07/2020 11:26:49 4223411 55963779 359-B Attachment Code : D577858 Master ID: 1352712, Certificate ID: 14095308 COMMERCIAL GENERAL LIABILITY CL CG 04 92 30 18 THIS ENDORSEMENT GENERAL LIABI This endorsement modifies insurance COMMERCIAL GENERAL LIABILITY THE POLICY. PLEASE READ IT CAREFULLY. ULTRA PLUS ENDORSEMENT under the following: E PART SUMMARY OF COVERAGE EXTENSIONS Provision Name Of Coverage Extension Included or Limit of Insurance A. Miscellaneous Additional Insureds Included B. Expected Or Intended Injury Or Damage Included C. Knowledge Of Occurrence Included D. Legal Liability — Damagel Ex losion Smoke Or Leakage To Premises Rented To You (Fire, Lightning, From Automatic Fire Protective Systems) $300,000 E. Medical Payments I See Declarations F. Mobile Equipment Redefined Included G. Newly Formed Or Acquired Company -And -Extended Organization, Partnership Or -Limited Liability Period.Of Coverage Included H. Who Is An Insured — Amendment Included I Non -Owned Watercraft Increased feet to maximum length of less than 51 Included JW Supplementary Payments'— 1. Bail Bonds 2. Loss Of Earnings Increased Limits - $ 3,000 $ 1,000 K. Unintentional Omission Or Unintentional Error In Disclosure Included L. Waiver Of Transfer Of Rights Of Recovery Against Others Included M. Liberalization Clause -Included N. Incidental Medical Malpractice Included The above is a summary only. Please extensions provided. The provisions of the Commercial C Coverage Part apply except as other this endorsement. This endorsement such Coverage Part is included in this A. MISCELLANEOUS 1. Section II Who Is An amended to include as an insun or organization (referred to as insured below) described in A.1.c.(1) through A.1.c.(9) you and such person or orga agreed CL CG 04 92 10 18 Includes the specific provisions that follow for complete information on the I Liability in writing in a contract or agreement that ovided in such person or organization be added as an �s only if additional insured on your policy, provided that: DNAL a. The written contract or written agreement REDS is. (1) Currently in effect or becoming anyperson eis effective during the term of this policy; any and i additional Paragraphs (2) Fully executed by you and the elow when additional insured prior to the "bodily :ation have hted material of Insurance Services Office, Inc., Page 1 of 8 with its permission Attachment Code : D577865 Master ID: 1352712, Cl rtificate ID: 14095308 COMMERCIAL AUTO CL CA 20 93 03 19 THIS ENDORSEMENT BUSINESS AUTO This endorsement modifies insurance BUSINESS AUTO COVERAGE FORM THE POLICY. PLEASE READ IT CAREFULLY. HANCEMENT PLATINUM PLUS under the following: OF COVERAGE EXTENSIONS Paragraph No. Name Of Extension Limit or Included A Additional Insured by Contract Or Agreement Including Primary and Noncontributory Otherlinsurance Condition Included B. Airbags - Extended Coverage Included C. Telematics & GPS Equipment Coverage $2,500 D. Electronic Equipment—Ilncreased Coverage $2,500 E. Auto Loan/Lease Gap Coverage Unlimited F. Autos Rented by Employees Included G. Bail Bonds - Extended Coverage $5,000 1{ Broad Form Named Insured Including Newly Acquired or Formed Organizations Included I. Custom Signs & Decorations Included J. Employees as Insureds Included K. Family Emergency Travel Reimbursement $2,500 L. Fellow Employee Coverage Included M e ge Fire Extinguisher Recharg included N. Glass Repair— No Deductible Included O Hired Auto Physical Damage and Increased Loss of Use Expenses Loss of use (Per Day /Maximum) $100,000 $560 / $3,500 P Hybrid Auto Payment Coverage (per auto / per loss) $200/ $5,000 Q. Knowledge Of An Accident, Claim, Suit Or Loss included R. - Limited Worldwide Hired & Non Owned Auto Coverage ---- - - - -. Included - S. Loss Of Earnings - Extended Coverage $1,000 T. New Vehicle Replacement Cost Included U. r- Rental Reimbursement Coverage Maximum Rental Expenses Per Day $75 Maximum Rental Expenses Because Of Loss To Any One Covered "Auto" $3,375 Maximum Rental Expenses Because Of Loss To All Covered "Autos" In Any One Policy Pei-od $15,000 CL CA 20 93 0319 Includes copyrighted material of Insurance Services Offices, Inc. with its permission Page 1 of 8 Attachment Code: D577865 Master ID: 1352712, Certificate ID: 14695308 V. Personal Effects Coverage $500 W. Resultant Mental Anguish Included X. Towing And Labor Coverage Private Passenger Other than Private Extension Type (Passenger Type $2600 $2 Y. Transportation Expense. - Coverage Extension ( Per Day I Maximum) $75 I $2,500 Z. Unintentional Failure TolDisclose Hazards Included AA. Waiver Of Collision Deductible = Attached Autos Included BB. Waiver Of Subrogation By Contract Or Agreement Included A. ADDITIONAL INSURED BY COP AGREEMENT INCLUDING PRII NONCONTRIBUTORY OTHER CONDITION The following is added to Par Who Is An Insured of Section II Autos Liability Coverage: When you have agreed in a writ or agreement to include a organization as an additional ii person or organization is inch 'insured" subject to the following: 1. Such person or organization is insured only to the extent Sul organization is liable for "boc "property damage" because of of an "insured" under Paragrs under Paragraph A.1. Who Is � Section 11 — Covered At Coverage, caused by an "a resulting from the ownership, or use of a covered "auto". OR 5. The following changes are made to AND Paragraph 5. Other Insura-nce of B. NCE General Conditions under Section IV —Business Auto Conditions: A.I. a. The following is added to Paragraph ered 5.a.: contract son or %d, such as an additional person or injury" or s a. or Insured ntenance 2. The written contract or lagreement described above must have been executed prior to the "accident" that ¢aused the "bodily injury" or "property damage" and be in effect at the time of such "accident". 3. The insurance afforded to any such additional insured does not apply to any "accident" beyond the period of time required by the written contract or agreement described above. 4. The most we will pay on behalf of such additional insured(s) is the lesser of - a. The Limits of Insurance specified in the written contract or agreeme t described above; or b. The Limits of Insurance Declarations. This provision shall not incr( of Insurance shown in the. D this policy or coverage part. in the Limit ns in If required by the written contract or agreement described above, the insurance afforded to the additional insured under this provision will be primary to, and will not seek contribution from, the additional insured's own insurance. b. Paragraph 5.c. is deleted in its entirety. 6. Paragraph A.1.c. under Section II -Covered Autos Liability Coverage is deleted in its entirety. 7. The definition of "insured contract" under Section V — Definitions is amended to add the following-. An "insured contract" does not include that part of any contract or agreement: That pertains to the ownership, maintenance or use of an "auto" and which indemnifies a person or organization for other than the vicarious liability of such person or organization for "bodily injury" or "property damage" caused by your operation or use of a covered "auto". However, a person or organization is an additional "insured" under this provision only to the extent such person or organization is not named as an "insured" by separate endorsement to this policy. B. AIRBAGS- EXTENDED COVERAGE Section III — Physical Damage Coverage, Paragraph B.3.a. does not apply to the unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide coverage.