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HomeMy WebLinkAboutINLET STRUCTURES INC - INSURANCE CERTIFICATE (10)INLESTR-01 MARSH1 '4coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 03/26/2018 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 CONTACT Shaleen Martin BAME: - --- -- - - Six & Geving Insurance, Inc. PHONE FAX 225 Union Blvd. #575 A/c, No, Ext : (720) 962-0930 A/C, No):(720) 962-0942 Lakewood, CO 80228 o'ss; smartin@six-geving.com INSURED Inlet Structures Inc. Danny Sr Rachel Garza 5110 York St Denver, CO 80216 Mutual ^f%%10n Af1_CC f•COTICIf`ATC d11111A000. 0C1/ICIfNKI All IUMCD- 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 _ CLAIMS -MADE OCCUR X 3X23855 W0212017 061OZ2018 PREMISESO(Ea olccuE eng $ 300,000 $ 5,000 MED EXP (Any one person PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jECT LOC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY X ANY AUTO 3X23855 06/02/2017 COMBINED SINGLE LIMIT (Ea accident_ ____ 06/02/2018 : BODILY INJURY Per rson 1,000,000 $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY EPer accident HIRED NON -OWNED AUTOS ONLY _. AUTOS ONLY P�tOPERTY DAMAGE er acciderd)_ _ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE 3X23855 06/02/2017 06/02/2018 AGGREGATE $ 5,000,000 DIED X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNERlEXECUTIVE NN F ManFICER/MEMBER EXCLUDED? datory in NH) NIA �4018512 04/01/2018 04/01/2018 X PER OTH- UT E.L. EACH ACCIDENT -____-- 1,000,000 __ E.L. DISEASE - EA EMPLOYEE. $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is named as additional insured as respects General Liability if required by written contract. ERTIFICATE HOLDER City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 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 3u � ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD