HomeMy WebLinkAbout181114 KIRSCHE CONSTRUCTION - INSURANCE CERTIFICATE (3)P52(Ak41k9)2
AC DATE (MMIDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 06/29/2018
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 CONTACT
NAME:
IMA, Inc. - Colorado Division PHONE IFAX
Ng Evlh IAIC. No):
E-MAIL 1705 17th Street ADDRESS: denaccounttechs0imacorp. cam
suite 100 INSURERS AFFORDING COVERAGE NAIL{
Denver, CO 80202 INSURER A:WESTFIELD RATL INS CO 24120
INSURED INSURER B: PIMNACOL ASSUR 41190
Krische Construction, Inc.
INSURER C
605 Weaver Park Road INSURER D:
INSURER E :
Longmont, CO 80501 INSURERF:
n„vcnwr_ce rCDTICIrATC aluu12c0. 53270374 RPVISInN NIIURFR-
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 ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY
A
Y
COMMERCIAL GENERAL LIABILITY
%
CMU6404291
07/01/18
07/01/19
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE a OCCUR
PRSESO aEoccurrrence
$ 500.000
E
MED EXP (Any one person)
$ 10,000
PD Ded: $2, 500
PERSONAL 8 ADV INJURY
$ 1,000,000
GENI AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY � PRO -
POLICY ['] LOC
$
OTHER:
A
AUTOMOBILE LIABILITY
S
CMM6404291
07/01/18
07/01/19
COMBINED SINGLE LIMIT
Ea accident)
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
E AUTOS ONLY E AUTOS ONLY
PROPERTY DAMAGE
Per accident
-
$
s
A
Z
UMBRELLALIAB
z
OCCUR
CMU6404291
07/01/18
07/01/19
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
EXCESS LIAR
CLAIMS -MADE
DIED X RETENTIONS 0
$
H
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBEREXCLUDED9
(Mandatory In NH)
NIA
4058925
07/01/18
07/01/19
OT
X ST TUTE ERH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
El. DISEASE - POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
WC - If Yes
Vice President
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 and Automobile Liability Policies if required by
written contract or agreement and with respect to work performed by insured subject to the policy terms and conditions.
RE: Garden on Spring Creek.
City of Fort Collins
300 Laporte Ave
Fort Collins, CO 80522
ACORD 25 (2016/03)
emarrick
53270374
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 `' /
U 1988-2015 ACORD COKPUKA I IUN. All rlgnts reserve0
The ACORD name and logo are registered marks of ACORD
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