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HomeMy WebLinkAbout479201 HEATH CONSTRUCTION - INSURANCE CERTIFICATE (9)P521dN121NM12 CERTIFICATE OF LIABILITY INSURANCE 04/3DATE /2018 AiC--��� 04/30/2018 114_ 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 endi,rscanant. A s::.tement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 CONTACT NAME:_ _ IMA, Inc. - Colorado Division PHONE FAX E-MAIL DenACCOUntTechseimacorp.Ccm 1705 17th Street ADDRESS. Suite 100 INSURE S AFFORDING COVERAGE MAIC• Denver, CO 80202_ INSURERA:MRTFORD FIRE IN CO 19682 INSURED INSURERS: TRUMBULL INS CO (Hartford Insurance Co) 27120 Heath Construction, LLC dba SaundersHeath INSURER C : ZNDURARM A1BR INS CO 10641 141 Racquette Drive INSURERD: PINMACOL ASSUR 41190 P.O. Box Drawer H INSURERE: Fort Collins, CO 80522 INSURERF: COVFRAGF.q CFRTIFICATF NUMRFR: 52713959 REVISION NUMBER: THIS IS I O 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 ADDLTYPE OF INSURANCE JM SUER POLICY NUMBER MMLDDIYYYY MMIDEFF POLICY EXP LTR LIMITS A X COMMERCIAL GENERALLIABILRY 34UFAZT7859 04/30/18 04/30/19 EACH OCCURRENCE = 1,000,000 CLAIMS -MADE OCCUR DAMA >t E T RENTED PREMISES Ea occurrei"I $ 300,000 X MED EXP (Any one person) $ 10,000 $5, 000 PD Deductible PERSONAL SADVINJURY $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[11 jEC7 0 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILELIABILITY 34UEAZT7860 04/30/18 04/30/19 COMBINED SINGLE LIMIT Ea accident _ $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE (Per accident) $ C X UMSRELLALIAB X OCCUR XSC30000649200 04/30/18 04/30/19 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 EXCESS LIAR CLAIMS -MADE $ DIED I I RETENTION$ D WORKERSCOMPENSATK)N AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE (NJ OFFICER/MEMBEREXCLUE u (Mandatory In NH) NIA A 3096125 - Colorado 10/01/17 10/O18 1/ X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - FA EMPLOYEE '- $ 1,000,000 EL. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) City of Fort Collins, Admin Services Purchasing Division are included as Additional Insureds on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE City of Fort Collins Admin Services Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 ACORD 25 (2016103) njones2014 52713959 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 /1 USA //,J////�/ 0 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 00 7 W