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HomeMy WebLinkAboutINNOVATIVE INSTALLATIONS INC - INSURANCE CERTIFICATE (2)7TE (MM/DDNYYY) A�� �® CERTIFICATE OF LIABILITY INSURANCE 14/2015 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 CONTACT Pat Martine! NAME: Stolte Insurance Agency A/C No ExPHONE t�: (303) 420-4766 No; (303)431-4634 Al 7707 Ralston Rd E-MAIL ADDRESS: Pat@stolteins.com P O BOX 664 INSURERS AFFORDING COVERAGE NAIC # Arvada CO 80001 INSURERA:OHIO SECURITY INS CO 24082 INSURED INSURER B : Innovative Installations Inc. INSURERC: 9975 Wadsworth Pkwy K2-407 INSURERD: Westminster CO 80021 1 INSURER F: r`nVFRAr.FS CFRTIFICATF NIIMRFR-09/15-16 REVISION NUMRER- 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 I TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDNYYY MM /DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR BKS55272962 9/14/2015 9/14/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RI::NIELI PREMISES Ea occurrence 300,000 $ MED EXP (Any one person) $ 15,000 AGGREGATE LIMIT APPLIES PER: POLICY �� PRO- ❑ LOC J JECT OTHER: PERSONAL & ADV INJURY $ 1,000,000 GEN'L GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - COMP/OP AGG $ 2,000,000 LEXE $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS MBINED IN LE LIMIT Ea accident $ _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA AS EXCESS LIAB I OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Myandatory in NH) DESCRIPTION OF OPERATIONS below N / A OTH- STATUTE $ ----- - $ E.L. EACH ACCIDENT E.L. DISEASE - EAIf EMPLOYE E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION slindell@fcgov.com City of Ft Collins PO Box 580 Fort Collins, CO 80522-0580 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 Pat Martine/PAT'::._......_ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)