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HomeMy WebLinkAbout479201 HEATH CONSTRUCTION - INSURANCE CERTIFICATE (10)- 1`52(NN)2N1102 x M/Y)AGORO CERTIFICATE OF LIABILITY INSURANCE I 04/30/2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require di. 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:---—------- IMA, Inc. - Colorado Division PHONE FAX 1705 17th Street ADDRESS: DenhccountTechseimacorp.com Suite 100 INSURERS AFFORDING COVERAGE NAIL/ Denver, CO 80202 INSURER A:HARTFORD FIRE IN CO 19682 INSURED INSURERS: TRUMMML INS CO (Hartford Insurance Co) 27120 Heath Construction, LLC dba SaundersHeath INSURER C �ENDURg AMER INS CO 10641 141 Racquette Drive INSURERD: PIId1ACOL ASMM 41190 P.O. Box Drawer H INSURERE: Fort Collins, CO 80522 1 INSURER F: CAVFRA[SFS CERTIFICATE NIIMRFR• 52713932 RFVISION NUMRFR- 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 HAVE BEEN REDUCED BY PAID CLAIMS. -MAY, INSR ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD DD/YYYY A X COMMERCIAL GENERALLIABB.ITY 34UEAZT7859 04/30/18 04/30/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR PREM SESS(EaEowxrence $ 300,000 X MED EXP (Any one person) $ 10,000 $5, 000 PD Deductible PERSONAL & ADV INJURY $ 1,000,000 _ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- _ POLICY J JECT LI LOC C PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 34UEAZT7860 04/30/18 04/30/19 COMBINEDSINGLE LIMIT Ea acciden, $ 1,000,000 BODILY INJURY (Per peson) $ X ANY AU TO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident NON -OWNED z HIRED fx AUTOS ONLY AUTOS ONLY $ _. $ C X UMBRELLA LIAB X OCCUR XSC30000649200 04/30/18 04/30/19 EACH OCCURRENCE $ 10,000,000 AGGREGATE EXCESS UAB CLAIMS -MADE $ 10,000,000 DED RETENTION$ $ D AND EMPLOYERS' LIABILITY WORKERS COMPENSATION YIN ANYPROPRIETOR/PARTNER/EXECUTIVE FN ] OFFICEWMEMBER EXCLUDED? (Mandatory in NH) NIA 3096125 - Colorado 10/Ol/17 10/Ol/18 = SET ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required) City of Fort Collins and State of Colorado are included as Additional Insureds on the General and Automobile Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION RE: 7675 South Transit Center - Bike Shelter Addition. City of Fort Collins 300 Laporte Ave. Fort Collins, CO 80522 USA 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 Zo ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD njones2014 52713932 r` en 7 z W