The URL can be used to link to this page

Home My WebLink AboutANTLER CONSTRUCTION CO - INSURANCE CERTIFICATE (2)QTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMYY) 04/22/2015 I2015 PRODUCER 7501 of Assurance 501 E Lowry Blvd Denver, CO 80230-7006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Pinnacol Assurance 41190 Antler Construction Co 546 Se 8th St Unit B4 - Loveland, CO 80537 INSURER B: INSURER C: INSURER D' INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL 1 POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIW/YYYY) DATE(MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES MED EXP4Any one elaon PERSONAL& ADV INJURY GENL AGGREGATE LIMIT APPDERS PER GENERAL AGGREGATE PRODUCTS -COMPIOP AGG POLICY PROJECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Ea Accident) BODILY INJURY ALL OWNED AUTOS SCHEDULEDAUTOS (Perpwson) BODILY INJURY HIRED AUTOS NUN -OWNED AUTOS (Per accident PROPERTY DAMAGE (Peraccident) GARAGE LIABRJTY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY: AG EXCESSIUMBRELLA LIABILITY FACH OCCURRENCE AGGREGATE OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMIENSATION AND WC STATU OTHER A EMPLOYERS LIABILITY ANY PROPMETORIPARTMERIEXECUTIVE 4149254 07/01/2014 07/01/201$ TORY LIMITS EL EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? El DISEASE - EA EMPLOYEE E1,000,000 If yes, pieasedesm1eaunaer SPECIAL PROVISIONS Eebw El DISEASE -POLICY LIMIT $1,000,1000 OTHER — DESCRIPTION OF OPERATIONSILDCATH)NSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1607204 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ft. Collins 330 S. Clollege Ave. PO Box 580 Ft. Collins, CO 80522 THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NOTIFY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO NOTIFY SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Matt McKenzie ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988