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HomeMy WebLinkAbout583340 BROCC FRAMING INC - INSURANCE CERTIFICATE (5)BROCC-1 OP ID: JL .4CORO" `� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 04/27/2018 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 endorsements . PRODUCER Brown & Brown of Colorado, Inc 2170 S. Parker Rd Ste 251 CONTANAME: CT Julia Luk anenko PHONE FAX ac No Ell: 720-963-4300 'C No): 720-962-5142 ML A DRESS: jlukyanenko@bbdenver.com Denver, CO 80231 Alex Frazier INSURERS AFFORDING COVERAGE NAIC # INSURER A: Pinnacol Assurance Company 41190 INSURED Brocc Framing, Inc. 7668 Big Valley Drive Loveland, CO 80537 INSURERS: INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER ICY EFF MMLDD/YYY Y POLICY EXP MM DD/Y YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ NO COVERAGE CLAIMS -MADE OCCUR -UA—MAGE TO RENTED PREMISES Ea occurrence) $ NO COVERAGE MED EXP (Any one person) $ NO COVERAGE PERSONAL & ADV INJURY $ NO COVERAGE GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ NO COVERAGE POLICY PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ NO COVERAGE $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ NO COVERAGE BODILY INJURY (Per person) $ NO COVERAGE ANY AUTO BODILY INJURY (Per accident) $ NO COVERAGE ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NO COVERAG NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ NO COVERAGE AGGREGATE $ NO COVERAGE EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 4088374 05/01/2017 06/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. RFRTICIRATF Nr)l nFR CANCFI_LATION CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD