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Home My WebLink AboutHILLSIDE CONSTRUCTION INC - INSURANCE CERTIFICATE (6)AIR" CERTIFICATE OF LIABILITY INSURANCE DATE(M9/2018 Y) 03/19/2018 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 Flood and Peterson NAMEACT Kylie Carey, CISR PHONE (970) 266-7148 FAXNo : (970) 506-6845 (AlC No Ext : E-MAIL KCarey@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: BITCO General insurance Corp 20095 Greeley CO 80632 INSURED INSURERS: Pinnacol Assurance 41190 INSURER C : Indian Harbor Insurance Company 36940 Hillside Construction, Inc. INSURER D : Travelers Property Casualty Co. ofAmerica 25674 216 Hemlock Street, Suite B INSURER E : INSURER F : Fort Collins CO 80524 rnvccnr_i CERTIFICATE NUMBER- CL1831922467 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY/YYYY MMI D/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE100,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 A CLP3666074 04/01/2018 04/01/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG g 2,000,000 POLICY ❑X ECOT LOC BLNKT $ OTHER: AUTOMOBILE LIABILITY(Ea COMINED acciden SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED IX AUOTOS ONEDY AUTOS ONLY CAP3666075 04/01/2018 04/01/2019 PROPERTY DAMAGE Per accident $ Underinsured motorist $ 1,000,000 X UMBRELLA LIAR I iC OCCUR ACH EOCCURRENCE $ 10,000,000 D EXCESSLIIAB CLAIMS -MADE ZUP41M9358318NF 04/01/2018 04/01/2019 AGGREGATE $ 10,000,000 X DED RETENTION $ 101000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4147214 04/0112018 04/01/2019 H X 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 If yes, describe under DESCRIPTION OF OPERATIONS below L C Professional & Pollution Liability PEC004563503 04/01/2018 04/01/2019 $2,000,000 / $2,000,000 Ea.Occur./Agg. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER l,Nl\V GLLMIIVI• City of Fort Collins P.O. 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 V "I `Jt3O-LV�ID /i1..VRU liVRrVR/illVl`�. nu nynw Icaclvcu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD