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HomeMy WebLinkAboutKRISCHE CONSTRUCTION INC - INSURANCE CERTIFICATE (3)paoiNuxi.rl Act CERTIFICATE OF LIABILITY INSURANCE DA6 22/DDI17 o6/aa/ao17 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: INA, Inc. - Colorado Division PHONE FAX VVC, Ng, Edtl: WC. No): ADDRESS: denaccounttechs@imacorD.com 1705 17th Street Suite 100 INSURER(S) AFFORDING COVERAGE NAIC9 Denver, CO 80202 INSURERA:WESTFIELD NATL INS CO 24120 INSURED INSURERS: PINNACOL ASSUR 41190 Arische Construction, Inc. INSURER C 605 Weaver Park Road INSURER O: _ INSURER E : Longmont, CO 80501 INSURER F: COVERAGES CERTIFICATE NUMBER: 50162244 REVISION NUMBER: 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. --- — - - - — NSIR EXP ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDY EFF MOLDICDY YYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY CMU6404291 07/01/17 07/01/18 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE ( Eaa occurrence) PREMISESS l $ 500,000 X MED EXP (Any one person) $ 10, 000 PD Ded: $2, 500 dADVINJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: -PERSONAL GENERAL AGGREGATE $ 2,000,000 GENT POLICY [_X] JE T I-g� LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER. A AUTOMOBILEUABIUTY CIOt6404291 07/01/17 07/01/18 COMBINED SINGLE LIMIT (Ea accident $ 1,000,000 _ BODILY INJURY (Per person) S E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S % NON -OWNED HIRED AUTOS X AUTOS $ A X UMBRELLA LIM y OCCUR CMU6404291 07/01/17 07/01/18 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LUB CLAIMS -MADE DEO I X I RETENTIONS 0 $ e WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY IPROPRIETORIPAR'rNERIEXECUTIVE -] OFFCERIMEMBER EXCLUDED? NIA 4058925 07/01/17 07/01/18 E STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA MPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bola. E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addhlonal Remarks Schedule, may be attached if mom space Is required) It MULUtK City of Fort Collins PO Box 580 Fort Collins, CO 80522 ACORD 25 (2014/01) briannah 50162244 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 USA / zo ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD