HomeMy WebLinkAbout102829 DON KEHN CONSTRUCTION - INSURANCE CERTIFICATE (7)PINNAA COL
ASSURANCE
Don Kehn Construction, Inc.
6550 S County Road 5
Fort Collins, CO 80528-9413
ENDORSEMENT: Blanket Waiver of Subrogation
7501 E. Lowry Blvd.
Denver, CO 80230-7006
303.361.4000 / 800.873.7242
Pinnacol.com
NCCI #: WC000313B
Policy #: 2093950
Holmes, Murphy and Associates, LLC
7600 E. Orchard Road
Suite 330-S
Greenwood Village, CO 80111
(720) 622-8242
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
SCHEDULE
To any person or organization when agreed to under a written contract or agreement, as defined above
and with the insured, which is in effect and executed prior to any loss.
Effective Date:October 1, 2017 Expires on: October 1, 2018
Pinnacol Assurance has issued this endorsement October 2, 2017
000000000000000 000000000000000 7501 E. Lowry Blvd Denver, CO 80230-7006
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