The URL can be used to link to this page

Home My WebLink About592927 HASELDEN CONSTRUCTION LLC - INSURANCE CERTIFICATE (15)P5260028(H)2 s A►C`CW& CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYYYY) 06/26/2018 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 endorsement(s). PRODUCER 1-303-534-4567 INA, Inc. - Colorado Division CONTACT NAME: PHONE FAX /C No): (A/C, E-MAIL denaccounttechs@imacorp.com ADDRESS: rP•com 17th Street INSURERS AFFORDING COVERAGE NAIL # Suite 100 INSURER A: VALLEY FORGE INS CO (CHA) 20508 Denver, CO 80202 _ _ _ INSURED INSURERS: CONTINENTAL INS CO (CNA) 35289 INSURER CPINNACOL ASSUR 41190 Haselden Construction, LLC INSURER D: 6950 South Potomac Street INSURER E : 1 INSURERF: Centennial, CO 80112 , AnrQ PCOTICI!•ATC u11unCD• 541A221A RCVI.SIf1N NIIIMRFR- 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 ADDL SUER POLICY NUMBER A MMIDDY EFF MM1DD POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE lxl OCCUR PD Ded: $10, 000 4028808411 07/01/18 07/01/19 EACHOCCURRENCE $ 1,000,000 PREMISES Ea o-RENTED xur ante $ 1,000,000 X MED EXP (Any one person) $ 15,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECTPRO X ] LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY C4028808425 07/01/18 07/01/19 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PeOac TY DAMAGE $ B X UMBRELLA LIAB EXCESS LIAR I X JOCCUR CLAIMS -MADE 6042783626 07/01/18 07/01/19 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICE R/MEMBER EXCLUE (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA 4082635 - CO ONLY 07/Ol/18 07/Ol/19 X STATUTE ERH _ E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 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) RE: Contractors License SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BOX 580 AUTHORIZED REPRESENTATIVE MA Fort Collins, CO 80522-0580 IUSA U 1988-2015 AGURD GURPORA I IUN. All ngntS reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD emarrick 53182218 N 7 W