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Home My WebLink About181114 KIRSCHE CONSTRUCTION - INSURANCE CERTIFICATE�P52dM117{IIUL ACORa' CERTIFICATE OF LIABILITY INSURANCE 10/12/2017 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(iss) 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 IXA, Inc. - Colorado Division CONTACT NAME: PHONE FAX LAIC. No E-MAIL ADDRESS: denaccounttecbeQimacorp.com 1705 17th Street INSURE S AFFORDING COVERAGE NAIC t suite 100 INSURER A: WESTFIELD NATL INS CO 24120 Denver, CO 80202 INSURED INSURER B: PINNACOL ASSUR 41190 Xrische Construction, Inc. INSURER C INSURER D: 605 Weaver Park Road INSURER E : INSURERF: Longmont, CO 80501 COVERAGES CERTIFICATE NUMBER: 51128036 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. INSIR] TYPE OF INSURANCE ADl7< SUBR POLICY NUMBER MP ICY EFF DNYYYI pY EXP ----- LIMITS A X COMMERCIAL GENERAL LIABILITY X CMM6404291 07/01/17 07/01/18 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR AMAGE 0 REMISES Ea occurrence. $ 500,000 X MED EXP (Any one person) PD Ded: $2, 500 s 10,000 _ PERSONAL 4ADVINJURY $ 1,000,000 _ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GENL PRO - POLICY a EC LOC PRODUCTS -COMP/OPAGG $ 2,000,000 OTHER. A AUTOMOBILE Luellen X C U6404291 07/01/17 07/01/18 COMBINED SINGLE LIMIT Ea accident = 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE er t _ X X NON -OWNED HIRED AUTOS AUTOS _ $ A X UMBRELLA LIAR X OCCUR CMK6404291 07/01/17 07/01/18 EACH OCCURRENCE S 5,000,000 AGGREGATE : 5,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION 0 $ B WORKERSCOMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED4 FN] (Mandatory In NH) N / A 4058925 07/01/17 07/01/18 X OH STATU R E.L. EACH ACCIDENT : 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,000 II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT = 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. RR: Garden on Spring Creek. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 300 Laporte Ave AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA ACORD 25 (2014/01) spmaestas 51128036 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD v 00 C N z W