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HomeMy WebLinkAbout101137 PINKARD CONSTRUCTION - INSURANCE CERTIFICATE (7)FATE (MMIODIYYYY) " AC"RV CERTIFICATE OF LIABILITY INSURANCE/02/2015 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 1-303-534-4567 CONTACT NAME: IRA, Inc. - Colorado Division PHONE FAX IALGG.N2 Eut),_ E-MAIL denaccounttecho@imacorp.com 17th Street ADDRESS:_ _ rp•com Suite 100 INSURERS AFFORDING COVERAGE NAIL / Denver, CO 80202 INSURERA: ZURICH AMER INS CO 16535 INSURED INSURERS: AMERICAN GUAR & LIAR INS (Zurich N. 26247 Pinkard Construction Co. INSURERC: PINNACOL ASSUR 41190 9195 West 6th Avenue INSURER D. INSURER E : Lakewood, CO 80215 INSURER F: CAVFRARFS CFRTIFICATF NIIMRFR- d54RSR72 DCVIQInM YI IIAQFD- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 3ELOW 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 ADOL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY GL0931935604 11/01/15 11/01/16 EACH $ 1,000,000 CLAIMS -MADE OCCUR -OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 5,000 PD Dad: $5, 000 PERSONAL d ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY a PRO n LOC JECT GENERAL AGGREGATE $ 2,000,000 GEN'L _ PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER. A AUTOMOBILE LIABILITY BAP931935504 11/01/15 11/01/16 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS _ BODILY INJURY (Pet accident) $ X_ NON -OWNED HIRED AUTOS R AUTOS PROPERTY DAMAGE Per accident _ $ — B X UMBRELLA LIAB X OCCUR AUCS83445203 11/01/15 11/01/16 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 EXCESS LIAR _ CLAIMS -MADE DED I X I RETENTION $ 0 $ C AND EMPLOYERS' TION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N❑ NIA 2321400 10/01/15 10/01/16 X STATUTE ER E.L. EACH ACCIDENT _-- $ 500,000 E.L. DISEASE - EA EMPLOYEE (Mandatory In NH) $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT -- $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) Certificate Holder is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. A Waiver of Holder on the General Liability and Workers Compensation Policies if required by written contract or agreement subject to the policy terms and conditions. conditions. %,CR I Ir i%,M 1 C n VLUCR I.AN16tLL.A I IUN RE: License #A-71 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 281 N. College Ave AUTHORIZED REPRESENTATIVE P.O. Box 580 �Z& Fort Collins, CO 80522-0580 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD njones2014 45385872