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Home My WebLink AboutL R CONTRACTING INC - INSURANCE CERTIFICATE (8)ACORO® �,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/2312015 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 endorsements . PRODUCER Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO CONTACT Stephanie Rodriguez — FAX PHONE . 303-996-7852 303-757-7719 A EMIL , srodriguez@crsdenver.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:PInnacol Assurance 41190 INSURED LRCON-1 INSURER B : L R Contracting Inc. 1280 S. Irving Street Denver CO 80219 INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 701923712 REVISION 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 WTH 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 ADDLSUBRI INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS MERCIAL GENERAL LIABILITY 1:1DAMAGE CLAIMS -MADE OCCUR EACH OCCURRENCE $No Covg w/CRS 4_70M DTO RENTED PREMISES Ea occurrence $No Covgw/CRS MED EXP (Any one person) $No Covg w/CRS PERSONAL & ADV INJURY $No Covg w/CRS GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT PRO- ❑ LOC GENERAL AGGREGATE $ND Covg w/CRS PRODUCTS - COMP/OP AGG $No Covgw/CRS $ OTHER: AUTOMOBILE LIABILITY COMBINEDTIOLE LIMIT Ea accident $No Covg w/CRS BODILY INJURY (Per person) $NO Covg w/CRS ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $NO COVg w/CRS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $No COvg w/CRS S UMBRELLA LIAB OCCUR EACH OCCURRENCE $No Covg w/CRS AGGREGATE $NO Covg w/CRS EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑Y N / A 4161775 1/1/2016 1/1/2017 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $100,000 E.1_. DISEASE - EA EMPLOYE $100,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) All policy terms, conditions and exclusions apply. I-- koAF4`L rLLA I IUN City of Fort Collins P.O. Box 580 Fort Collins CO 80526 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 U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD