Loading...
HomeMy WebLinkAboutJP COOPER CONSTRUCTION CO/ INTERIOR FINISHES LLC - INSURANCE CERTIFICATE (3)AC"RD® CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 16-� 1 07/28/2015 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 NAME: CONTACT Jerry Kennedy Western Insurance Solutions Inc LArcNNo Ext : (719) 594-6883 FAXNo : (719) 532-9996 4740 Flintrid a Drive, Suite 115 E-MAIL er wisins.com g ADDRESS: ) ry@ Colorado Springs, CO 80918 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: ASSOCIATION INSURANCE COMPANY 11240 INSURED JP Cooper Construction CO/Interior Finishes LLC 16361 Timber Meadow Or Colorado Springs CO 80908 INSURER B : SENTINEL INSURANCE COMPANY 11000 INSURER C : PINNACOL ASSURANCE 41190 INSURER D : INSURER E : INSURER F : COVERAGES CFRTIFICATF NIIII D1=1/ICInIU KII IMRoo- 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL 8, ADV INJURY $ 1,000,000 A GLP012272302 03/24/2015 03/24/2016 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE� 71 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1000000 BODILY INJURY (Per person) $ 1000000 ANY AUTO B ALL OWNED X SCHEDULED AUTOS /� AUTOS 34UECVT7961 03/26/2015 03/26/2016 BODILY INJURY (Per accident) -- $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE UMB0183483 01 03/24/2015 03/24/2016 DIED I X I RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I 4178792 11/18/2014 ! 11/01/2015 �/ PER Ci x STATUTE ER E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 -- $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Contractor l.Cr[ I Ir•I%+H 1 C r7VLUCK CANCFI. I ATIr)N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason St AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 4K7__%� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD