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HomeMy WebLinkAboutCOLARELLI CONSTRUCTION INC - INSURANCE CERTIFICATE (2)AC40 CERTIFICATE OF LIABILITY INSURANCE 10/a1/2015 1� 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 1705 17th Street Suite 100 Denver, CO 80202 CONTACT NAME: PHONE �AX No. Extk (A/C No): E-MAIL denaccounttechs@imacorp.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC I INSURER A: VALLEY FORGE INS CO (CNA) 20508 INSURED Colarelli Construction, Inc. 111 S. Tejon Suite 112 Plaza of the Rockies North Tower Colorado Springs, CO 80903 INSURERS: CONTINENTAL INS CO (CNA) 35289 INSURER CCONTINENTAL CAS CO (CNA) 20443 INSURER0: PINNACOL ASSUR 41190 INSURER E: INSURER F: COVFRAGFS CFRTIFICATE NUMRFR- 45281307 RFVISInN NUMRFR- 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 TYPE OF INSURANCE ADDL SUBR _ POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY 6010523809 02/01/15 02/01/16 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 500, 000 X MED EXP (Any one person) $ 15,000 PD Ded: $5, 000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L POLICY EC07 lxl LOC PRODUCTS - COMP/OP AGG f 2,000,000 f OTHER. B AUTOMOBILE LIABILITY 5099533203 02/01/15 02/01/16 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO I ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) f PROPERTY DAMAGE Per accident f X NON -OWNED HIRED AUTOS X AUTOS Z C X UMBRELLA I" X OCCUR 5099533198 02/01/15 02/01/16 EACH OCCURRENCE $ 5,000,000 AGGREGATE s 5, 000, 000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTIONS 10,000 $ D AND EMPSCOMPEUABILIN AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED' N (Mandatory In NH) N I A 4065815 10/01/15 10/01/16 OTH­ X STATUTE ER E.L. EACH ACCIDENT $ 500, OOO E.L. DISEASE - EA EMPLOYEd i 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 500, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be attached If mom space Is required) City of Fort Collins is included as Additional insured on the General and Automobile Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION 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. 218 N College Ave AUTHORIZED REPRESENTATIVE P.O. Box 580 MR Fort Collinsno , CO 80526 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD njones2014 45281307 0 z Lit