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HomeMy WebLinkAboutPRADELL BUILDERS INC - INSURANCE CERTIFICATE (5)AC �® DATE (MM/DD/YYYY) V CERTIFICATE OF LIABILITY INSURANCE F2i1i201$ 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 have ADDITIONAL INSURED provisions or 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: Scott Anderson, CIC Commercial Risk Solutions PHONE FAX 6600 E Hampden Ave Ste 200 A/c No Ext : 303-996-7833 A/C No : 303-757-7719 Denver CO ADDE-MRESS: sanderson@crsdenver.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: PlnnacolAssurance 41190 INSURED PR'ADE-1 INSURER B : Nationwide Pradell Builders, Inc. 1768 W. 152nd Avenue INSURER c Broomfield CO 80023 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATF NUMBER:1679376353 RFVISI0N NIIMRFR- 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 AD L SUBR POLICY NUMBER POLICY EFF MM! POLICY EXP MMlDD LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR Y ACP3017333559 9/22/2017 9/22/2018 EACH OCCURRENCE $1,000,000 INIEU PREMISES Ea occurrence $300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1.000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY F_X_1 PE � LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Hired & NonOwned $ Included B AUTOMOBILE LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ACP3017333559 9/22/2017 9/22/2018 COMBINED SINGLE LIMIT Ea accident $ 1 0 00000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ACP3017333559 9/22/2017 9/22/2018 EACH OCCURRENCE $ 5,000,000 _ AGGREGATE $5,000,000 DIED I X RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE F OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It YYes, describe under DESCRIPTION OF OPERATIONS below N / A 4176845 �i, 2/1/2018 2/1/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT __ $1,000,000 E.L. DISEASE - EA EMPLOYEE %1,000,000 -- _- 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 included as additional insured on the General Liability with respect to ongoing operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. GtKllrlllAIt HULUtK I;ANL tLLAIIUN City of Fort Collins 281 North College Avenue, PO Box 580 Fort Collins CO 80522-0580 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 Oc 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD