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Home My WebLink About109363 ALLIANCE CONSTRUCTION SOLUTIONS LLC - INSURANCE CERTIFICATE (4)ACORO" CERTIFICATE OF LIABILITY INSURANCE `� DATE(MWDDNYYY) 12/28/2015 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 Mary Cole, CIC Flood and Peterson PO Box 578 AX PNC NNo Ext; (970) 356-0123 q/C No: (970)330-1867 ADoaless:NCole@floodpeterson.com INSURER(S) AFFORDING COVERAGE NAIC R Greeley CO 80632 INSURERA:Allied World Specialty Ins Company INSURED INSURER B :Zurich Alliance Construction Solutions, LLC INSURERc:Pinnacol Assurance 2260 Broadway INSURERD:Travelers Property Casualty Cc INSURER E:Allied/Nationwide INSURER F: Denver CO 80205 GUVInHAGFS CFR I IHCATF NIIMRFR•CLl h I2l RflNflgl orvlc lfl\r unaanrn. 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 MD SUER WVD I POLICY NUMBER MM% DNYYY MM DDNYYY LIMITS A I I COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE X OCCUR X WY Stop Gap 03099285 1/1/2016 1/1/2017 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 J$lnml/$lmm/$lmm PERSONAL B ADV INJURY S 1,000,000 GGEEN'L AGGREGATE LIMIT APPLIES PER: I POLICY I JEC LOC j GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 S Ir OTHER; AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 E X ANY AUTO ALL OS SCHEDULED AUTOS AUTOS 3007503465 1 1/2016 / 1/1/2017 BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS X AUTOS 19 If�1l X X PROPERTY DAMAGE Per accident $ $ I X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 10, 000, 000 AGGREGATE $ 10, 000, 000 B EXCESS LIAB CLAIMS -MADE 1 JAUC9141138-09 1/1/2016 1/1/2017 DED I X I RETENTION$ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4038468 1/1/2016 1/1/2017 PER OTH- X STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT S 1 000 000 D Leased/Rented Equip QT6606G309197COF16 1/1/2016 1/1/2017 $350,000 Limit $1,000 Ded D Builders Risk/Inst QT6608F328292TIL16 1/1/2016 1/1/2017 $5mm/$15mm per Const type $5,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached H more space is required) RE: Contractor's License A-96 City of Fort 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 Taylor/MTAYLO'— ACORD 25 (2014/01) INS025 (201401) (9 1985-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD