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HomeMy WebLinkAboutLEI COMPANIES INC - INSURANCE CERTIFICATE (4)Iv526�0028002 ACORO CERTIFICATE OF LIABILITY INSURANCE 09/26ia1n 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 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 1-303-534-4567 INA, Inc. - Colorado Division CONTACT NAME: PHONE FAX No): EMAIL denaccounttechaaimacorp.com ��� 1705 17th Street INSURER(S) AFFORDING COVERAGE NAIC i Suite 100 INSl1RERA: WESTFIELD INS CO 24112 Denver, CO 80202 INSURED INSURER8: PINNACOL ASSDR 41190 LEI Companies, Inc. INSURER CINDIAN HARBOR INS CO (XL Environmental 33040 INSURER D: 2017 Curtis St INSURER E : INSURER F: Denver, CO 80205 COVERAGES CERTIFICATE NUMBER: 50944522 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. INSR LTR TYPE OF INSURANCE ADOL SUER NUMBER POLIPOLICY MMIDCY EFF MPOMIIODY EXP UMITs A X COMMERCIAL GENERAL LIABILITY TRA7910440 10/01/17 10/01/18 EACH OCCURRENCE = 1,000,000 CLAIMS -MADE 1XI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S 500,000 X MED EXP (Any one person) = 10,000 PD DED: $500 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � JET LOC PRODUCTS- COMP/OP AGG $ 2,000,000 1 f OTHER: A AUTOMOBILE LIABILITY TRA7910440 10/01/17 10/01/18 ICE OMBINESINGLELIMIT a accidentD $ 1,000,000 BODILY INJURY (Per person) i X ANY AUTO BODILY INJURY (Par accident) $ ALL OWNED I SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Par accident : NON -OWNED X HIRED AUTOS X AUTOS s A X UMBRELLA LIAB N OCCUR TRA7910440 10/01/17 10/01/18 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000,000 EXCESS LIAR CLAIMS -MADE DED X RETENTION 0 f B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N I A 4062205 10/01/17 10/01/18 X 1 ER STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,000 E.L. DISEASE - POLICY LIMIT = 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Leased & Rented Equipment TRA7910440 10/01/17 10/01/18 Limit $100,000 Deductible $ 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K mom space Is required) t.tKIIFIt:AIt NULULK VANI.tLL kIIVN RE: License #NE-1227. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ft. Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOY 580 AUTHORIZED REPRESENTATIVE //",& Ft. Collins, CO 80522 / USA iii ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD epmaestas 50944522 :19 I DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 09/266//2017 NAME OF INSURED: LEI Companies, Inc. Additional Description of Operations/Remarks from Page 1: Additional Information: Installation Floater Coverage: Policy #TRA7910440 Effective Dates: 10/01/2017-10/01/2018 Insurer A: See Above $780,000 Any One Location; $9,000,000 Per Disaster; $780,000 Transit; $780,000 Temporary Location; $500 Deductible; SPC Form Pollution/Professional Combined: Policy #PEC004671802 Effective Dates: 10/01/2017-10/01/2018 Insurer C: See Above $2,000,000 Each Occurrence; $2,000,000 Aggregate; $10,000 Deductible SUPP (05/04)