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HomeMy WebLinkAboutPARAMOUNT REMODELING INC - INSURANCE CERTIFICATE (2)ACCO I DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 11/27/2017 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 endorsements . PRODUCER NAAMME: Shana Phillips Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 3005 Center Green Drive Suite 120 Ne E,). 303-444-4666 —CA/C. No) 303 444-8481 Boulder CO 80301 E-M RIEss- Shana_Phillip5@ajg.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Addison Insurance Company 10324 INSURED PARAREM-01 INSURER B: Pinnacol Assurance Company 41190 Paramount Remodeling Inc. Paramount Electric INSURERC: Martin Maxwell 8105 W 125 Frontage Rd. #5 INSURERD: _ Frederick CO 805169465 INSURER E : CnVFRAGFS CFRTIFICATF NIIMRFR- 1389146367 RFVISInN NUMRFR- 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 I TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYY OLICY EXP INSR POLICY EFF MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X ' OCCUR 60306641 1/11/2017 1/11/2018 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence E100,000 MED EXP (An one person) $5,000 PERSONAL & ADV INJURY $1,000,000 _ GENT AGGREGATE LIMIT APPLIES PER: %( POLICY JECOT- LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 E L. AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident E BODILY INJURY (Per person) E BODILY INJURY (Per accident) E rRTY-D Per accident E E UMBRELLA LIAB EXCESS LIAB �_17CCUR LMS-MADE EACH OCCURRENCE E AGGREGATE E — —_ DED RETENTION E E B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N !ANY PROPRIETOR/PARTNER/EXECUTIVE iOFFICER/MEMBEREXCLUDED, (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below N/A 4114449 12/1/2017 12/1/2018 X I STATUTE I I 'ER' E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) L;EK I IFIIUA I t HULUtK GANL;LLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80522 USA AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD