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HomeMy WebLinkAboutPRECISION PANEL COLORADO INC - INSURANCE CERTIFICATEPRECPAN-01 MTUSINSKI ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE DIYYYY) 4/11 11/2 /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 CONTACT NAME: Michelle Tusinski TrueNorth PHONE FAX PO Box 847 (A/C, No. Ext): (303 ) 776-5122 (A/c No): (303) 776-6495 Longmont, CO 80502 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURER A: Colony Insurance Company 39993 INSURED INSURER B : Pinnacol Assurance Company 41190 Precision Panel Colorado LLC & Gabler Homes LLC INSURER C : 1799 Red Cloud Road INSURER D : Longmont, CO 80504 INSURER E : INSURER F : COVERAGES CERTIFICATE NLIM13ER: RFVISICIN NLIMRFR- 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS OCCUR 103GLOO12981-00 02/23/2016 02/23/2017 DAMAGE TO F_ENT D 100 00 -MADE PREMISES (Ea occurrence) $_ MED EXP (Any one person) $ 5,00 f PERSONAL & ADV INJURY $ 1,000,00 GEN-L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PRO- POLICY JECTPRO- L' LOC PRODUCTS - COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION 'PER OTH- AND EMPLOYERS. LIABILITY Y/N X STATUTE ER $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE .4135932 08/01/2015 08/0112016, E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? NIA $ 11000,000 in NH) (Manyes E.L. DISEASE - EA EMPLOYEE ,datory describe DESCRIPTION OFder OPERATIONS below 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) City of Fort Collins is additional insured as respects General Liability for ongoing operations of named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P BFort ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD