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HomeMy WebLinkAbout479201 HEATH CONSTRUCTION LLC - INSURANCE CERTIFICATE (3)P5260028002 ACC�'�'t0 CERTIFICATE OF LIABILITY INSURANCE 09/18/2015 ' 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 1-303-534-4567 IRA, Inc. - Colorado Division CONTACT NAME: PHONE FAX AJC No. E-MAIL ADDRESS: DenACcountTechs@imacorp.com 1705 17th Street INSURERS AFFORDING COVERAGE NAIC # Suite 100 INSURERA: CHARTER OAR FIRE INS CO(Travelers) 25615 Denver, CO 80202 INSURED INS URER8: TRAVELERS IND CO 25658 Heath Construction, LLC INSURERc: STARR iND & LIAB CO(RT Specialty) 38318 INSURERD: ZURICH AMER INS CO(Pinnacol Assurance) 16535 141 Racquette Drive INSURERE: PINNACOL ASSUR 41190 P.O. BOX Drawer H INSURERF: Fort Collins, CO 80522 nnVFRAnFS CFRTIFICATF NIIMRFR• 45017786 RFVISIAN 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 LTR TYPE OF INSURANCE ADDLSUBR NUMBER POLIPOLICY MMDDY EFF POLICY EXP MM DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY DTC07F694337COF15 04/30/15 04/30/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1K OCCUR DAMAGE 0 REN PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 5,000 $5, 000 PD Deductible PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 2,000,000 POLICY F7X PRO- JECT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY DT8107F694337IND15 04/30/15 04/30/16 COEa accideMBINEDntSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS Ix AUTOS $ C X UMBRELLA LIAB X OCCUR 1000021757 04/30/15 04/30/16 EACH OCCURRENCE is 10, 000, 000 AGGREGATE $ 10,000,000 EXCESSLWB CLAIMS -MADE DIED I I RETENTION $ $ D E WORKERS COMPENSATION AND EMPLOYERS'LWBILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBEREXCLUDED? a (Mandatory In NH) N/A WC969178403-Other States 3096125-Colorado 10/O1/15 10/01/15 10/Ol/16 10/01/16 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom apace Is required) City of Fort Collins, Admin Services Purchasing Division are included as Additional Insureds on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. 1013:1112Of_117;Lei14al:1 aL'l:laf aaIM-111 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Admin Services Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE / ��l Fort Collino, CO 80522-0580 / / I USA l ACORD 25 (2014/01) ale2mttz 45017786 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD fm