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Home My WebLink AboutJP COOPER CONSTRUCTION CO/ INTERIOR FINISHES LLC - INSURANCE CERTIFICATE (4)ACo ® CERTIFICATE OF LIABILITY INSURANCE `� DATE (MM1DDlYYYY) 03/25/2016 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 Western Insurance Solutions Inc 4740 Flintridge Drive, Suite 115 Colorado Springs, CO 80918 CONTACT Kennedy NAME: Jerry y PHONE . (719) 594-6883 FAX No), (719) 532-9996 E-MAIL er ADDRESS: jerry@wisins.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: NATIONAL BUILDERS INSURANCE COMPANY 16632 INSURED JP Cooper Construction CO/Interior Finishes LLC 16361 Timber Meadow Dr Colorado Springs CO 80908 INSURERB: SENTINEL INSURANCE COMPANY 11000 INSURER C : PINNACOL ASSURANCE 41190 INSURER D : NATIONAL UNION FIRE 19445 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: vTHIS 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IX-1 OCCUR GLP 0122723 03 03/24/2016 03/24/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 GEN'L PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS "�/ AUTOS NON -OWNED X HIRED AUTOS /� AUTOS 34UECVT7961 03/26/2016 03/26/2017 Ea accident SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ 1,000,000 BODILY INJURY (Per accident) $ Peaccident) ROPERT DAMAGE $ D X UMBRELLA LIAB EXCESS�LLIIAB X OCCUR CLAIMS -MADE EBU 018256717 03/24/2016 03/24/2017 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED /� I RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 1Y �/ N OFFICER/MEMBER EXCLUDED? L� (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4178792 11 /01/2015 11 /01/2016 �/ PER OTH- /� STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) General Contractor CtK I IFIGA I t HULUtK 1iA176 cLLA I IU11I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE 215 N Mason St Fort Collins CO 80524 V 19t3t$-ZU14 AGUKU GUKVUKA I IUN. All rignis reserves. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD