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HomeMy WebLinkAboutKRISCHE CONSTRUCTION INC - INSURANCE CERTIFICATE (2)P5260028002 ACORU0 CERTIFICATE OF LIABILITY INSURANCE 06/aei2015m 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 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX A/C No): 17th Street E-MAIL denaccounttechs@imacorp.com ADDRESS: ='D•com INSURERS AFFORDING COVERAGE NAIC # Suite 100 INSURERA: WESTFIELD INS CO 24112 Denver, CO 80202 INSURED INSURERB: ZURICH AMER INS CO (Pinnacol) 16535 Rrische Construction, Inc. INSURER C:PINNACOL ASSUR 41190 INSURER D: 605 Weaver Park Road INSURER E : INSURERF: Longmont, CO 80501 U0VFRAGFS CFRTIFICATF N[IMRFR• dAIR3910 0C111QIf%kI ul luciro. 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. 1�TR TYPE OF INSURANCE ]Mao ADOL WVn SUER POLICY NUMBER MM/DOPOLICY EFF MMIDDPOLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR PD Ded: $2, 500 CHM6404291 07/01/15 07/01/16 EACH OCCURRENCE $ 1,000,000 DAMAE T 0 RENTED PREMIMI SES Ea occurrence $ 500, 000 X GEML MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � JECT a LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CMM6404291 07/01/15 07/01/16 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUM6404291 07/01/15 07/01/16 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X . RETENTION $ 0 $ B C ANDEMPS EMPLOYERTIONS' AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTNE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below MIA 463298103 AZ,CA,NM,NV,OR 4058925 07/01/15 07/01/15 07/01/16 07/01/16 I X STATUTE ERER H E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) -r IF -r a nvLvcln I,ANI,CLLA 1 IVIY 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. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 /�/�& USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD kbulliung 44383910 •.. s- a 7 O 7 z LLJ