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HomeMy WebLinkAboutHUDSON ELEVATOR LLC DBA PEAK ELEVATOR PERFORMANCE - INSURANCE CERTIFICATE (2)Client#: 757990 PEAKELEV ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE /01/2015 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER HUB International Ins Svcs Inc 1125 17th Street, Suite 900 Denver, CO 80202 888 795-0300 CONTANAME, Deanna Baldridge PHONE 720-207-2415 AX 866-243-0727 A!C No Et): C No AoDRE S, deanna.baldridge@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC If INSURER A: Hartford Underwriters Insurance 30104 INSURED Hudson Elevator LLC DBA PEAK Elevator Performance Group 5156 W 58th Ave Ste B Arvada, CO 80002 INSURERB: National Union Fire Ins Co Pitt 19445 Marketing Submission INSURER C :arg 24082 INSURER D:Ohio Security Insurance Company INSURERE: INSURERF: CA Resident License #0757776 COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTRR TYPE OF INSURANCE IN OL SUB POLICY NUMBER MWDDDPCILICYEFF YY MMIIDOY � 1J1RT3 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR _ 13UENOJ7134 5/03/2015 05/03/2016 EACHOCCURRENCE$1 000000 PREMISES EaEoa Dnce $300 000 $1D 000 MED EXP (Any onepawn) PERSONAL B ADV INJURY _ $1 00D 000 $3,000,000 GENERAL AGGREGATE GENL AGGREGATE LIMIT APPLIES PER: POLICY X PRO. LO PRODUCTS-COMPIOPAGG $3,000,000 $ D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOSPOPER X HIRED AUTO X AUTOSYNED BAS1655563415 D510312015 05(03/201 COMBINED SINGLE 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ Perr acatlan DAMAGE $ B X UMBRELLA LUAS EXCESSLIAe OCCUR CLAIMS -MADE BE064845443 5/03/2015 05/0312016 EACH OCCURRENCE s5,000,000 X AGGREGATE $5 000 000 OED I I RETENTION$ $ `+ AND EMPLOYERS' LIABILITY WORKERS COMPENSATION ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below N/A 4173333 5/01/2015 05101/201 X wcsTATu- ETH- T ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) This section intentionally left blank City of Fort Collins N Mason St Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE __(L © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 #S3482900/M3482730 The ACORD name and logo are registered marks of ACORD KYO1