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HomeMy WebLinkAboutH W HOUSTON CONSTRUCTION CO - INSURANCE CERTIFICATE (2)�P326W211W2 R A d—d--b KO� DATE CERTIFICATE OF LIABILITY INSURANCE I 06/19 (MM2015 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 1-303-534-4567 CONTACT NAME: INA, Inc. - Colorado Division PHONE IFAX 1705 17th Street Suite 100 Denver, CO 80202 INSURED H.W. Houston Construction Co. PO Box 1463 Pueblo, CO 81002 (A/C, No. Ext)-_ _ .__ -. (AIC, No): E-MAIL ADDRESS:_ QeDpataQiOaCOrp.COt INSURER(8 AFFORDING COVERAGE INSURERA: PHOENIX INS CO (Trawlers) INSURER B: CHARTER OAK FIRE INS CO (Trawlers) INSURERC: AMERICAN GUAR a Lin IN8(ZRrich) INSURERD: PIN11111112OL ASM _NAICS 25623 25615 26247 41190 INSURERE: ZURICH AWIR INS CO (Pianacol Assurance) 16535 INSURERF: COVERAGES CERTIFICATE Nt1MRER• 44276671 RFVISInN NIIMRFR- 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -- --- --- - - ADDL SUER - --- - ---- - - - POLICY EFF POLICY ERP -- -- - LTR I TYPE OF INSURANCE JIM WVO POLICY NUMBER MM/DDrym) mwDrrmI LIMITS A X COMMERCIAL GENERALLJABLLnY DTC00670C701PHX14 10/01/14 10/01/15 EACH OCCURRENCE :1,000,000 J X] DAMAGE TO PREMISES (Ea NTED 1,000,000 CLAIMS -MADE OCCUR $ -. = NEDEXP(Any one Person) PD Deductible: $5,000 — -- - $ 5,000 S 1,000,000 PERSONAL 4 ADV 84RIRY i 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY L 1 � 1 _ I LOC $ 2,000,000 PRODUCTS - COMP/OP AGG OTHER: $ B AUTOMOBILELIABIIJTY DT8100670C701COF14 10/01/14 10/01/15 COMBINED SINGLE LIMIT Ea accident) = 1,000.000 X ANY AUTO BODILY INJURY (Per peram) i _ ALL OWNED I SCHEDULED AUTOS (. AUTOS - _ BODILY INJURY (PM accident) _ = 14 NON -OWNED PROPERTY DAMAGE t HIRED AUTOS AUTOS Per accident. _-_ C Z UMBRELLALIAB X OCCUR ADC931908403 10/01/14 10/01/15 EACH OCCURRENCE $ 5,000,000 AGGREGATE EXCESS LIAs CLAIMS -MADE s 5,000,000 DED RETENTION $ $ D WORKERS COMPENSATION 4048587 - CO ONLY 10/01/14 10/01/15 AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT E ANY PROPRIETOR/PARTNER/EXECUTIVE —1 NC463293205-RS,NT,NE,OX, /01/14 10/01/15 S 1,000,000 OFFICERIMEMBER EXCLUDED? NIA -- --- E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) $ 1,000,000 x yes describe under DESCRIPTION OF OPERATIONS below -- f 1,000,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more spats is required) RE: Contractor's License. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 La Porte AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD as Clain 44276671