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