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Home My WebLink About479201 HEATH CONSTRUCTION LLC - INSURANCE CERTIFICATE-1® CERTIFICATE OF LIABILITY INSURANCE cATEI""�°"'Y"' 5/13/2020 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 06T CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,. IMPORTANT: If the certificate holder Is an ADDITIONAL I INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S WAIVED, subject to the terms and. this certificate does not Confer rights to the certificate holder ondltlons of the policy,. certain policies may require an endorsement. A statement on in Ileu of such endorsements . PRODUCER IMA; Inc. - Colorado Division 1705 17th Street, Suite 100 Denver CO 80202 NAME: IMA Denver Team PHONE 303-5U74567 ac No: yvc,yo AI o : DenAccountTech3 imaco .com ,INSURE S AFFORDING COVERAGE NAIL 4 INSURER A: Cincinnati Insurance Company 10677 'INSURED Heath Construction, LLC dba SaundeisHeath HEATCONI, INSURERS: Plnnacol Assurance 41190 INsuRERc< CNA Insurance 1212 Riverside, Suite 130 INSURER 0: INSURER E: Fort Collins CQ 80524 F : .. ..INSURER COVERAGES CERTIFICATE NUMBER:65685880 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, TER OR; CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSORANCE 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 LTR TYPE OF INSURANCE AD L I D sUBR Wy IPOUCYNUMBER POLICY EFF "WDD/YY. POLICY EXP OIYY UNITS A X COMMERCIAL GENERAL LIABILITY EPP0576035 4/30/2020 4/30/2021 EACH OCCURRENCE _ $1,000,0010DAMAGE CLAIMS -MADE Z OCCUR TO RENTED— PREMISES {Ea occurrence) . $500,000 X MED EXP (Any.one Person) $10,000 SWID DED:S5.000 PERSONAL 8 ADV. INJURY $1,000;000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS.COMPIOP.AGG. $2,000,000 - POLICY � JECT LOC ( $ OTHER: A AUTOMOBILE LIABILITY EBA0576035 4/3012020 4/30PI021 'CgaNla81 aWISINGLE uMIT $1.000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED ONLY AUTOSHIRED IjuXNON-OWNED iX ONLY AUTOS ONLY BODILY INJURY(Peraccident) $AUTOS PROPERTY DAMAGEAUTOS (Per accident $ I A X UMBRELLA LIAR X OCCUR EPPD576035 4/30/2020 4/30/2021 .EACH OCCURRENCE $5:000,000 AGGREGATE. $5.000,000 EXCESS UAS CLAIMS -MADE DEO RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANYPROPRIETORlPARTNERtEXECUTIVE Y OFFICER(MEMBEREXCLUDEDI (Mandatory In NH) NIA 3096125 10/112019 10/12020 IX PTATUTEI I ER - E.L.EACHACCIDENT $1;000,000 I E.L. DISEASE --EA EMPLOYEE $1,000,0D0 E.L. DISEASE- POLICY. LIMIT $1,000 000 If yes, describe under DESCRIPTION OF OPERATIONS below C Excess Second Layer.Uabillty 6080916517 4/30/2020 41302021 Each Occurrence Apgrapate '$5,000,000 - - $5,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks SehedUle,,may be attached If more Waco Is required) - Professional Liability' Coverage: Policy#PCAD850115310420I Effective Date: 04/30120-04/30/21 Insurer. Berldey Assurance Cc $10,000,000 Aggregate; $10,000,000 Each Claim; $50,000 SIR: Claims Made Pollution Liability Coverage: Policy #PCADB50115310420 Effective Date: O4/3020-04/3021 Insurer Berldey 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 City of Fort Collins Admin Services Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS: PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 USA ////A�/(//,\J/ 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 3 6324 AGENCY CUSTOMER ID: HEATCONI' LOC #: AC p® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 .. AGENCY NAMED INSURED IMA, Inc. - Colorado Division Heath Construction, LLC dba SaundersHeath 1212 Riverside, Suite 130 POLICY NUMBER Fort Collins CO 80524 CARRIER NAIL CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Builders Risk Coverage: Policy #OT6600C29938ATIL20 Effective Date: 04/30120-04/3021 Insurer: Travelers Property Casualty Co of Amer Basic Limits Per,Project: $60,000,000 -All Other Construction Type; $60,000,000 - Non -Combustible; $10,000,000 -Frame and Joisted Masonry; $5,000,000 -Flood -Zones B, X(Shaded); X, X-500, C; $5,000, 00 -Earthquake (no high hazard); $1,500,000 -Transit; $2,500,000 - Temporary Storage 00 - All Other Peril Deductible; $25,000 -Flood - Zones B. K (shaded), X-500; $10,000 - Flood - Zone C, X; $25,000 - Earthquake ;ed 8 Rented Equipment Coverage: Policy #0T6600C29938ATIL20 ;five Date: 04130/20-04/30/21 Insurer: Travelers Property C sualty Co of Amer 00,000 Maximum Limit; $1,000 Deductible of Fort Collins, Admin Services Purchasing Division are incl ded as Additional Insureds on the General LiabilityPolicy if required by Written contract or ement and with respect to work performed by Insured subject to the policytetms and conditions. ® 2008 AI The ACORD name and logo are registered marks of ACORD All rights reserved. 3• of 3 6324