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HomeMy WebLinkAboutLEI COMPANIES INC - INSURANCE CERTIFICATE (3)F.... ACC>Ra l..J CERTIFICATE OF LIABILITY INSURANCE DATE 01/2(MMMI15 l0/0l/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 INA, Inc. - Colorado Division CONTACT NAME: PHONE FAX IAIC. No): E-MAIL ADDRESS. denaccounttechsAimacorp.com 1705 17th Street INSURE S AFFORDING COVERAGE NAIC S Suite 100 INSURER A:RMFIELD INS CO 24112 Denver, CO 80202 INSURED INSURER 8: PINK&COL ASSUR 41190 INSURER CIMDIAN BARBOR INS CO (ET. N—ironmsatal. 3 84)40 LEI Companies, Inc. INSURER D: 2017 Curtis St INSURER E . INSURERF: Denver, CO 80205 rAVFRArFS CFRTIFICATF NIIMRFR- 45164320 REVISION NIIMRFRZ 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. _ - -_ SISR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF ID Y POLICY EXP MWDD UYRS A X COMMERCIAL GENERAL LIABILITY TRA7910440 10/01/15 10/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE EXI OCCUR DGE TO RENTED PRAEM SES Ea occu ence $ 500,000 X MED EXP (Any one person) S 10,000 PD DED: $500 PERSONAL & ADV INJURY $ 1,000,000 _ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GENL POLICY L-X] ECT D LOC PRODUCTS -COMP/OPAGG $ 2.000,000 $ OTHER: A AUTOMOBILE LIABILITY TRA7910440 10/01/15 10/01/16 COMBINED SINGLE LIMIT Ea accident = 1,000,000 BODILY INJURY (Per peron) $-_ Z ANY AUTO BODILY INJURY (Per accdent) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ z X NON -OWNED HIRED AUTOS AUTOS - $ A X UMBRELLA I" Y OCCUR TRI1,7910440 10/01/15 10/01/16 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 91000,000 EXCESS LIAR CLAIMS -MADE DIED I % I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTWE --I OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N / A 4062205 10/01/15 10/01/16 z 3 ATUT ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes descnbs under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased & Rented Equipment TRA7910440 10/01/15 10/01/16 Limit $100,000 Deductible $ 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attach" If mom space Is required) L,tK 111-1L.A 1 t MULUtK %,AM%,r-LLA I IUM rcityL icense IIME-1227. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Of Ft. Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE /.wFt. CollinIsUSA ((((, CO 80522 / ACORD 25 (2014101) njones2014 45164320 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 00 O N P526W1281N@ DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: Additional Information: Installation Floater Coverage: Policy #TRA7910440 Effective Dates: 10/01/2015-10/01/2016 Insurer A: See Above $300,000 Any One Location; $9,000,000 Per Disaster; $300,000 Transit; $300,000 Temporary Location; $500 Deductible; SPC Form Pollution/Professional Combined: Policy #PEC0046718 Effective Dates: 10/01/2015-10/01/2016 Insurer C: See Above $2,000,000 Each Occurrence; $2,000,000 Aggreagate; $10,000 Deductible N SUPP (05/04)