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HomeMy WebLinkAboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATE (11)ACORD, CERTIFICATE OF LIABILITY INSURANCE 10/1/2018 DATE(MMIOD/YYYY) 4/25/2018 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 an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 CONTACT NAME: A/c No Ext : aIc No): A-M EAIL INSURER AFFORDING COVERAGE NAIC # (303) 414-6000 INSURER A: Valley Forge Insurance Company 20508 INSURED The Bauen Corporation INSURER B : The Continental Insurance Company 35289 1034092 801 E. 52nd Ave. Denver, CO 80216 INSURER C : Pinnacol Assurance Compariv 41190 INSURER D : AXIS Surplus Insurance Company 26620 INSURER E : INSURER F : COVERAGES BAUC003 CERTIFICATE NUMBER: 1991907 REVISION NUMBER: XXXXXXX 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 INSD SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP (MM/DDrfYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N 4021109791 5/1/2018 5/1/2019 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER. POLICYFX JECT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNEDAUTOS ONLY AUTOS AUTOS ONLY X NON-OWNED ONLY N N 4021110598 5/1/2018 5/1/2019 COBI.N EDtSINGLE LIMIT $ 1 000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY BODILY INJURY (Per accident $ )(](}{){XXX X perOaeadent DAMAGE $ XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 4021109807 5/1/2018 5/1/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) it describe under DESCRIPTION OF OPERATIONS below N/A N 2127630 10/1/2017 ]0/]/2018 X STATOT UTE ER E. L. EACH ACCIDENT $ 1,000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT s 1,000,000 D Pollution Liability N N CP002398022018 5/11,2018 5/1/2019 Limit: $1,000,000 each claim Ded: $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1991907 AUTHORIZED REPRESENTATIVE City of Fort Collins P.O. Box 580 Fort Collins CO 80522 , ACORD 25 (2016103) ©1 M812015 ACORD CORPO ATION- All rights reserved The ACORD name and logo are registered marks of ACORD