HomeMy WebLinkAbout479201 HEATH CONSTRCUTION LLC DBA SAUNDERSHEATH - INSURANCE CERTIFICATEAcoRE0 CERTIFICATE
a�'
OF LIABILITY INSURANCE
DATE 13/20rrvrY)
5/1312020
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
BELOW. THIS CERTIFICATE OF INSURANCE DOESI
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
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
conditions of the policy, certain policies may require an endorsement A statement on
this certificate' does, not conferr rights to the certificate
iolder In lieu of such endorsement(s).
PRODUCER
IMA, Inc. - Colorado Division
1705 17th Street, Suite 100
Denver CO 80202
NAME: NTACT IMA Denver Team
PHONE 303539 4567
c
FAX
ac No :
E-Mwl _ _ .
60DOEss.. DenACcountTechs imaco .com
INSURE AFFORDING COVERAGE
NAIL #
INSURER A: Cincinnati Insurance Company
I 10677
;INSURED
_
HEATCONI
INSURER B: Pinhacol Assurance
41190
Heath Construction, LLC
dba SaundersHeath
INSURER i CNA Insurance
INSURER D:
1212 Riverside, Suite 130
INSURER E:
Fort Collins CO 80524
INSURERF:
._ .._ _..
COVERAGES CERTIFICATE NUMBER:1961753239
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
OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH. THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HE IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS
SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPEOFINSURANCE ..
ADDLSUBR
I
WVD
POLICYNUMBER.
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYY
.. ._.. _ .. LIMITS
A.
11 COMMERCIAL GENERAL LIABILITY
EPPO
76035
4/30/2020
4/30/2021
EACHOCCURRENCE
$1A00,000FT1
CLAIMS -MADE OCCUR
DAMAGE TO RENTED
PREMISES Eaocmrrence
$�500,000 .
MED.EXP (Any,oneperson)
- $10;000
X BIIPD DED:35,000
PERSONAL &ADV: INJURY.
$1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
:GENERAL AGGREGATE
$2,000,000
POLICY [K JECT 7 LOG
PRODUCTS-COMPIOP AGG.
$2,000,000
$
OTHER:
A
AUTOMOBILELNABILITY
EBA0576035
4/30f2020
4130/2021
%131NED SINGLE LIMIT
acadent _
$.1,000,00D
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOSHIRED
IX
BODILVINJURY.(Per accident)
$
PROPERTY DAMAGE
Per accidoM
$
X NON -OWNED
AUTOS ONLY AUTOS ONLY
A
X
UMBRELLA UAB X OCCUR
EPP0576035
413012020
4M/2021
EACHOCCURRENCE
$5,000.000
AGGREGATE
$5',000,000
EXCESS VAS CLAIMS -MADE
DEC I I. RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS, LIABILITY
ANYPROPRIETORIPARTNENEXECUTIVE YIN
OFFICER/MEMBEREXCLUDED? �.
(Mandatory In NH)
NIA
309625
10/1/2019
10/12020
X STATUTE ER
E.L. EACH ACCIDENT
$1,000,000 --
E.L. DISEASE - EA EMPLOYEE
$1.000,000
II yyes, describe.undor
0 SCRIPTION'OF OPERATIONS below
E.L. DISEASE- POLICY. LIMIT
$ 1,000,000
C
Excess_ Second Layer Uability
6080918517
4/30/2020
4130/2021
Each.Oceu"ence
Aggregate
$5,000.000
$5,000,000
DESCRIPTION OPOPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional
Remarks Schedule, may be attached K more space Is required)
Professional Liability Coverage: Policy#PCADB50115310420
Effective Date- 04/3020-04/30/21 Insurer: Berkley Assurance
Co
$10,000,000 Aggregate; $10,0.00,000 Each Claim; $50,000
SIR; Claims Made
Pollution Liability Coverage: Policy '#PCIADB50115310420
Effective. Date: 04/3020-04/3021 Insurer. Berkey Assurance
Co
$10,000,000 Limit; $50,000 SIR; Includes Mold
See Attached...
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Clttyy of Fort Collins
213 North Mason Street 1st Floor, South
Wing
ACCORDANCE WITH THE POL16Y PROVISIONS.
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522-0580
USA
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2• of 3 6329
AGENCY CUSTOMER ID: HEATCONI
LOC #:
ACORV® ADDITIONAL REMARKS. SCHEDULE Page 1 of 1
AGENCY"
NAMED INSURED
IMA. Inc. -Colorado Division
Heath Construction, LLC
dba SaundersHeath
1212.Riverside, Suite 130
POUCYNUMUER
Fort Collins CO 80524
CARRIER
NAIL CODE
EFFECTWE DATE:
THIS ADOITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FnRW N111WPPM. 25 FnAU TM F• CERTIFICATEIOF LIABILITY INSURANCE
Risk Coverage:. Policy #QT6600C29938ATIL20
Date: 04/30/20-04130121 Insurer: Travelers Property
nits Per P�D'ect:
000 - All Mr Construction Type; $60,000,000 - Noi
60 - Flood - Zones B, X(Shaded), X, X-500; C; $5,00
00 - Temnorarv"StOIenA
ally Co of Amer
Ibustible; $10,000,00.0 - Frame and Joisted Masonry;
- Earthquake (no high hazard); $1,500,000 - Transit;
-AI) Other Peril Deductible; $25.000 -'Flood - Zones B, X (shaded), X-500; $10,000 - Flood - Zone C, X; $25,000'- Earthquake
8 Rented Equipment Coverage: Policy#OT6600C29938ATIL20
e Date: 04/30/20-04/30/21 Insurer: Travelers Property. Casualty Co of Amer
000 Maximum Limit; $1,000 Deductible
101
The ACORD name and logo are registered marks of ACORD
3' of 3 6329