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HomeMy WebLinkAboutPARAMOUNT REMODELING - INSURANCE CERTIFICATE (2)ACOR ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYVY) `.../ 12/23/2015 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 endorsements . PRODUCER CONTACT _NAME: Shana Phillips Arthur J. Gallagher Risk Management Services, Inc. PHONo�,II) 303-444-4666 �.ug. 303-444-8481 3005 Center Green Drive Suite 120 Boulder CO 80301 ADDRE-MAESS: Shana_Phillips@ajg.com INSURED PARAREM-01 Paramount Remodeling Inc. Paramount Electric Martin Maxwell 8105 W 125 Frontage Rd. #5 Frederick CO 805169465 COVERAGE INSURERA:Addison Insurance Company 10324 INSURER B : Pinnacol Assurance Company 41190 INSURER C : INSURER E : CnVFRAGFA CFDTIFICATF NI IMRFD• 1303629311 DV%1ICIr1N NI IMRFD• 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 TYPE OF INSURANCE ADDL INSD SUMPOLICY WV POLICY NUMBER EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR 60306641 1/11/2016 1/11/2017 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $100,000 MED EXP (Any one son) $5,000 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PRO-- LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOSULED HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLEs Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S Per accident S S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S H AGGREGATE S DIED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUIIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4114449 12/1/2015 12/1/2016 X I STATUTE i ERH E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE - $500,000 - $500,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) t-r K I Ir It -A I L hULULF( UANL:LLLA I IUN City of Fort Collins PO BOX 580 Fort Collins CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD