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HomeMy WebLinkAboutPARAMOUNT REMODELING INC - INSURANCE CERTIFICATE (4)ACORO0 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/8/2017 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 Arthur J. Gallagher Risk Management Services, Inc. 3005 Center Green Drive Suite 120 Boulder CO 80301 CONTACT NAME: Shana Phillips PHONE 303 444 4666 FAX 303 444-8481 (AtC-No.�)' -- --AlC. E-MAJL . Shana_Phillips@ajg.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Addison Insurance Company 10324 INSURED PARAREM-01 INSURER B: Pinnacol Assurance Company 41190 Paramount Remodeling Inc. Paramount Electric Martin Maxwell INSURERC: —-- - 8105 W 125 Frontage Rd. #5 INSURERD: Frederick CO 805169465 INSURERE: INSURER F : COVFRAGFS CFRTIFICATF NIIMRFR• 524318720 RFVISION 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 15 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 IN POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MWDONY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X� OCCUR 60306641 1/11/2017 1/11/2018 EACH OCCURRENCE $1,000,000 PREMISESa occurrence MED EXP (Any one person) E100,000 $5,000 PERSONAL & ADV INJURY E 1,000,000 GEN'L %( AGGREGATE LIMIT APPLIES PER: _—_-1 PRO, POLICY li_ JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG E 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Ea accident)$ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S ER Per accident $ _ S UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y /❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4114449 12/1/2016 12/1/2017 X STATUTE ERH _� E.L. EACH ACCIDENT $500,000 E.L. DISEASE- EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO BOX 580 Fort Collins CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD