The URL can be used to link to this page

Home My WebLink AboutHILLSIDE CONSTRUCTION INC - INSURANCE CERTIFICATE (5)1 0 �►�� v CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DOfYYYY) o3/zazozo 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: N the certificate holder is an ADDITIONAL"INSURED, the policy(ies) 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 rot confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER-- Flood and Peterson PO BOX 578 - Greeley CO 80632 CONTACT .CANED I Kylie Carey,CISR; CIC - PNONN (970) 268-7148 IC Nc : (970) 506.6845 AD RIESS: KCarey®floodpeterson.com INSURER AFFORDING COVERAGE NAICe INSURER A: Employers Mutual Casualty Company 21415 - - INSURED Hillside Construction, Inc. 216 Hemlock Street, Suite B Fort Collins CO 80524 INSURER B : EMCASCO Insurance Company 21407 INSURER C : TriMelers Property Casualty Company of America 25674 INSURER D :. Pinnacol Assurance 41190 INSURERE: Indian Harbor insurance Company 36940 INSURER F :. COVIERA :FW CFRTIFtCATF NUMBER- rBUmY/rrtvr/rUL 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 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 MAV HAVE BEEN REDUCED BY PAID CLAIMS.tNSR - LTR- TYPE OF INSURANCE I S _ POLICY NUMBER MID PUUGYEP � EXP LIMITS COMNERCIALGENERALLWBILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR N I hU PREMISES Ea ciurrence $ 500,000 MED EXP oneperson) $. 10,000 - A 6DO1591 04/01/2020 04/01/2021 PERSONAL&ADVINJURY.-__ $ 1,000,000 GENLAGGREGATE LIMIT APPLIES PER: POLICY �.JE T LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 BLNKT $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident g 1,000,000 BODILY INJURY (Per person) $ _ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY - AUTOS ONLY 6E01591 04/01/202Q 04/01/2021 BODILY INJURY (Per acddent) - - $ PROPERTY DAMAGE- Par ecddan $ Underinsured motorist $ 1,000,000 UMBRELLA UAB OCCUR EACH OCCURR!--NCE $ 10,000,000 C _EXCESSUAS CLAIMS -MADE ZUP-4lM635S3.20-NF 04/01/2020 04/01/2021 AGGREGATE $ 10,000A00 DED I X RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? . _� (Mandatory in NH) N/A 4147214 04/01/2020 04/Oi/2021 PER OTH- STATUTE ER - - - - - - - E.L.EACH ACCIDENT $ 1,000,000 _ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POUCY UMIT $ 1.000,000 a Yes, describe antler DESCRIPTION OF OPERATIONS below E ProfessionaltPollution Liability PEC004563505 04/01/2020 04/01/2021 $2,000,00042,000,000 $25,000 SIR — DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD tOY, Additional Remarks Schedule, maybe attached It more epees ie ror♦ulrotl) LOCATIONS/ City of Fort Collins P.O. Box 580 Fort Collins CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD