HomeMy WebLinkAboutASPEN CONSTRUCTION ENTERPRISES INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
5/22/2020
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is -an ADDITIONAL INSURED; the'poliey(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED, 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).
�un AG
PRODUCER NAME. I K_ arole Peters
Madison Insurance Group PHOA/CNe Et : 3033220800 Ate, Ne ; 3033220874
600 South Cherry St, Ste 900 ADDRESS: kpeters@madisoninsurance.net
INSURER(S) AFFORDING COVERAGE NAIC #
Denver CO 80246 INSURERA: BERKLEYASSURCO 39462
INSURED INSURER B : OWNERS INS CO 32700
Aspen Construction Enterprises, Inc INSURER C : NATIONAL UNION FIRE INS CO OF PITTS 19445
dba Aspen Construction INSURER D :. PINNACOL ASSUR 41190
204 N Link Lane #3 INSURER E :
Fort Collins ICO 80524 INSURER F :
f ^VCDAGCC CCDTICICATC MI IMRCD• DCVIRInti MI IMRCD-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED -ABOVE FOR THE POLICY PERIOD -
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED 1. BY THE POLICIESDESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
INSD
Yr1ID
POLICY NUMBER
MWODNYYY)
(MMIDD=
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ®OCCUR
Blkt Additional Insured
VUM80218670
04/29/2020
04/29/2021
EACH OCCURRENCE
$ 1,600,060
PREMISES .(Ea occurrence.
$. _ loo,000
MED EXP (Any one Person)
$ Excluded
K
Blkt Waiver of Subrogation _
PERSONAL BADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ®ECo-T 7LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMP/OP AGO
$ 2,000,000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
-- OWNED SCHEDULED AUTOS ONLY AUTOS
s� HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
5067582800
04/28/2020
04/28/2021
Ea accident),
$-1,000,000
BODILY INJURY (Par person)
$
BODILY INJURY (Per accident)
$
Per accident
$
C
UMBRELLA Like
EXCESS LIAB
X
OCCUR
CLAMS -MADE
BE035901548
04/29/2020
04/29/2021
EACH OCCURRENCE
$ 1,600,000
x
AGGREGATE
_
$ 1,000,000
DED RETENTION $ 0.00
$
D
_ RKERS COMPENSATION
ND EMPLOYERS- LIABILITY
V PROPRIETOR/PARTNER/EXECUTIVE YIN
FFICER/MEMBER EXCLUDED? ❑
Mandatory in NH)
1.yes, describe under
ESCRIPTION OF OPERATIONS below
NIA
3.18240
06/01/2020
06/01/2021
STATUTE ER
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
$ 500,000
E.L. DISEASE -POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS ILOCATIONS / VEHICLES (ACORD 101, Additional
Remarks Schedule, may be attached It more space is required)
neerern wTr•. U^. nen I PAMPCI I ATIRU
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins Utilities
ACCORDANCE WITH THE. POLICY PROVISIONS..
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522
Kgrela Ftbrs
Uc 1955-ZU15 AGURD GURPOKATIUN. All rlgnts reserves.
ACORD 25 (2016f03) The ACORD name and logo are registered marks of ACORD