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HomeMy WebLinkAboutG.A. HOLTER CONSTRUCTION LLC - INSURANCE CERTIFICATE___�aaa`w GAHOLTE-01 C3JWAGNER A4C4C>M CERTIFICATE OF LIABILITY INSURANCE DA5/28/2020 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 TH OR PRODUCER, AND E CERTIFICATEIHOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poltcy(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). PRODUCER IC2MNJACT AssuredPartners Colorado dW Front Range Ins Group 2002 Caribou Drive, #101 P.O. Box 270550 Fort Collins. CO 80525 INSURED G.A. Hotter Construction LLC 85o9 S. Mason Fort Collins, CO 80525 F.: 223-1804 COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF _INSURANCE, INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN LISTED BELOW HAVE BEEN ISSUED TO THE, INSURED, NAMED .ABOVE LFOR THE: POLICY PERIOD OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL imm SUBR POLICY NUMBER POLICYEFF POLICY.EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FIOCCUR EACH OCCURRENCE $ DPR IAGE.TO RENTED $ MED.EXP (Any oneparson) $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ j LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE WIBILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS WN p AU'RS ONLY AN% OW[V COMBBIINNeED SINGLE LIMB "$ BODILY INJURY Per person) BODILY INJURY Per accident $ Per acEcidenrit AMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE. $ AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE _ Y Q�FICER/MEM%1W EXCLUDED?" t'^andaLory in NX) tt yes, describe under DESCRIPTION OF OPERATIONS below NIA 054673 711/2020 7/1/2021 X PEAR OTE TH- E.L. EACH ACCIDENT- _ - _$ _ 100,000 E.L. DISE/iSE - EA EMPLOYEE 100'000 E.L. DISEASE -POLICY LIMB 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Addtd al Remarks Schedule, maybe attached II space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street Fort Collins, CO 80624 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD