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Home My WebLink AboutJP COOPER CONSTRUCTION CO/ INTERIOR FINISHES LLC - INSURANCE CERTIFICATE (5)® DATE (MM/DDNYYY) AC� �� CERTIFICATE OF LIABILITY INSURANCE 10/23/2015 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 Jerry Kennedy Western Insurance Solutions Inc PHONE t : (719) 594-6883 FA/C No): (719) 532-9996 E-MAIL a 4740 Flintridge Drive, Suite 115 ADDRESS: jerry@wisins.com Colorado Springs, CO 80918 INSURED JP Cooper Construction CO/Interior Finishes LLC 16361 Timber Meadow Dr INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: ASSOCIATION INSURANCE COMPANY 11240 INSURERB: SENTINEL INSURANCE COMPANY 11000 INSURER C : PINNACOL ASSURANCE 41190 INSURER E : Colorado Springs CO 80908 I INSURER F : !`r1VGl7Ar21=S rFRTIFIr'ATF NIIMRFR• REVISION NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DDNYYY MWDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAM AGE T RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A GLP012272302 03/24/2015 03/24/2016 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X❑ PRO - POLICY LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1000000 BODILY INJURY (Per person) $ 1000000 ANY AUTO BODILY INJURY (Per accident) $ $ B ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS 34UECVT7961 03/26/2015 03/26/2016 PROPERTY DAMAGE Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE UMB0183483 01 03/24/2015 03/24/2016 DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) NIA 4178792 11/01/2015 11/01/2016 X STATUTE PER H ER $ 1,000,000 — - $ 1,000,000 _ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more spate Is required) General Contractor rFRTIGICATF NC11 r1FR CANCFI I ATION 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. AUTHORIZED REPRESENTATIVE 215 N Mason St Fort Collins CO 80524 f-C) 1tIt$t$-ZU14 AGUKU GUKl`UKA I IUN. Ali rignLs reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD