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HomeMy WebLinkAbout181114 KIRSCHE CONSTRUCTION - INSURANCE CERTIFICATE (2)P52600281N12 (� DATE (MMIDDNM) R ACORO CERTIFICATE OF LIABILITY INSURANCE 10/06/2017 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 CONTACT NAME: IMA, Inc. - Colorado Division PHONE FAX _JA(C, No. Ext1: E-MAIL denaccounttechs@imacorp.com 1705 17th Street ADDRESS: _ Suite 100 INSURER(S) AFFORDING COVERAGE NAIC0 Denver, CO 80202 INSURER A:WESTFIELD NATL INS CO 24120 INSURED INSURER B: PINNACOL ASSDR 41190 Krische Construction, Inc. INSURER C : 605 Weaver Park Road INSURER0: INSURER E : Longmont, CO 80501 INSURER F: nnvcownrc rcorlrrrATc euIUCro• S'11nn-ju RFVISJnN NIIMRFR- 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. _ INS.ADMTYPE OF INSURANCE INSC SUER POLICY NUMBER MMIDDPOU—CY EFF MPOMIL DY EXP LTR LIMITS A X COMMERCIAL GENERAL LIABILITY CHU6404291 07/01/17 07/01/18 EACH OCCURRENCE $ 1,000,000 I X� AGE O RENT 500, 000 l CLAIMS -MADE I — I OCCUR PREMISES Ee occurrence) $ X PD Ded: $2, 500 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 _ POLICY [� JEC7 LOC PRODUCTS - COMP/OP AGG = 2,000,000 S OTHER. A AUTOMOBILE LIABILITY CMK6404291 07/01/17 07/Ol/18 COMBINEDSINGLELIMIT(Ea accident) i 1400,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per eccldelt) $ ALL OWNED SCHEDULED AUTOS - AUTOS NON -OWNED PROPERTY DAMAGE (Per accident) $ X HIRED AUTOS X AUTOS Z A X UMBRELLA Like X OCCUR CHN6404291 07/01/17 07/01/18 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LU1B CLAIMS -MADE DED X RETENTIONS 0 S B WORKERS COMPENSATION 4058925 07/01/17 07/01/18 = STATUTE OTH- E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) N I A E.L. DISEASE - EA EMPLOYEE f 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I 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. f FRTH;irATF Nnl nFR CANCELLATION : Garden on Spring Creek. ty of Fort Collins 300 Laporte Ave Fort Collins, CO 80522 ACORD 25 (2014/01) fkm5013 51100235 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 USA ©1988-2014 ACORD CORPORATION. All nghts reserV60. The ACORD name and logo are registered marks of ACORD r1 O W