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HomeMy WebLinkAboutTAYLOR KOHRS LLC - INSURANCE CERTIFICATE (5)TAYLOKOH1 Client#: 1171319 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 110/0212017 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Colorado, LLC Construction P.O. Box 7050 Englewood, CO 80155 800 873-8500 NAME: Client Manger PHONE g00 873-8500 FAX 303-831-5295 AIC No Et): A/C No ADDRESS: den.contractors@usi.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A Continental Casualty Company 20443 INSURED Taylor Kohrs, LLC 12160 Pennsylvania St Thornton, CO 80241 INSURER B : Continental Insurance Company 35289 ac INSURER C : Plnnol Assurance Company 41190 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE NSRLSUBR WVD POLICY NUMBER MMlDDY EFF MM/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY WCLAIMS -MADE 4 OCCUR CX Ded:$5,000 X X 6014495066 10/01/2017 10/01/2018 EACH OCCURRENCE $1 OOO 000 PREMISES E.occurrence $100 000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY X JECT LOC OTHER: I GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPlOP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY X X 6014495049 10/01/2017 10/01/2018 COMBINEDSINGLELIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X 6014495052 10/01/2017 10/01/201 EACH OCCURRENCE $10000000 AGGREGATE $1 O 00O 000 DED X RETENTION $1O 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? FN-] (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X 4096033 10/01/2017 10/01/2018 X PER FIR E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 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) RE: Contractors License City of Fort Collins 215 N. Mason Street 2nd Floor Fort Collins, CO 80524-0000 l,AN %o r LLA 1 1 V ry 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) 1 of 1 #S21622678/M21616975 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AKTZP