Loading...
HomeMy WebLinkAboutINLET STRUCTURES INC - INSURANCE CERTIFICATE (11)INLESTR-01 MARSHI ,ACORv CERTIFICATE OF LIABILITY INSURANCE FDATE (MMIDDNYYY) 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 Shal@on Martin _NAME: $IX 8r GE'Ving Insurance, Inc. PHONE 72 FAX No :(720 225 Union Blvd. #575 (A/c, No, Ext): ( 0) 962-0930 ) 962-0942 Lakewood, CO 80228 ADDE-MRES • smartin@six-geving.com INSURED Inlet Structures Inc. Danny & Rachel Garza 5110 York St Denver, CO 80216 INSURER F : rnvcDAfcc PCDTICI!`ATG KIIIMRGD• D5=VISIr1N NIIMRFR- 1190 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 ADOL SUBR POLICY NUMBER T POLICY EFF POLICY EXP ! LIMITS LTIA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I ,000,OOO CLAIMS -MADE [X] OCCUR X 3X23855 06/02/2017 06/02/2018 300,000 pAM1AGET ERENTE,curDnc MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY Fx-1 jea n LOC OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acgident) ___ 1,000,000 X ANY AUTO 3X23855 06/02/2017 06/02/2018 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUUTOS ONLYY PROPERTY AMAGE Per accident A X UMBRELLA LIAB X I OCCUR EACH OCCURRENCE _ $ 5,000,000 EXCESS LIAB I CLAIMS -MADE 3X23855 06/02/2017 06/02/2018 AGGREGATE $ 5,000,000 DIED X RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YN FFICER/MEMBER EXCLUDED? Mandatory in NH) NIA 4018512 04/01/2018 04/01/2019 X PER OTH- T E.L. EACH ACCIDENT 1,000,000 $ _ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT' If yes, describe under NS below DESCRIPTION OF OPERATIO 1,000000 I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO GENERAL LIABILITY IF REQUIRE BY WRITTEN CONTRACT. ALL PROJECTS, ALL LOCATIONS. CITY OF FT. COLLINS 281 N. COLLEGE AVE P.O. BOX 580 FT. 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD